Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlie Rose Manchester, PA-C

Individual provider Physician Assistant · NPI 1336637669

Carlie Rose Manchester, PA-C is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2017, 9 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Florida.

Years since qualifying
9
Licensed in
CO, FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2805
Phone: (203) 631-4224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2500 Rocky Mountain Ave Ste 360, Loveland, CO 80538-9004 — (970) 221-1000
  • 654 Johnson Ave, Meriden, CT 06451-2742 — (203) 631-4224

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9111148 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA.0008541 (CO)

Record details

NPI number1336637669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 23, 2018
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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