Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jessica Manzolillo, PAC

Physician Assistant in Wilkes Barre, PA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174504468

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Registry record

Entity type Individual (Type 1)

Name Jessica Manzolillo

Credential PAC

Sex Female

Practice address 175 S Wilkes Barre Blvd, Wilkes Barre, PA, 18702

Phone (570) 208-6281

Fax (570) 208-6282

Enumeration date Nov 14, 2005

Last updated in NPPES Jul 31, 2020

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA051051 (PA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA051051 (PA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jessica Manzolillo?

The National Provider Identifier (NPI) for Jessica Manzolillo is 1174504468, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jessica Manzolillo practice?

The practice location on file with NPPES is in Wilkes Barre, PA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-31.