CASSIE LYN MANESS, Pharm D — NPI 1710681119 (Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in BOLIVAR, MO)

CMS-1500 Box 24J / 33a • NPI

1710681119

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1835P0018X

Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Box 32 Service Location & ZIP+4

1100 S SPRINGFIELD AVE STE A, BOLIVAR, MO, 65613-2512

✓ 9-Digit EDI 837 ZIP+4 (65613-2512)

Practice Phone & Referral Fax

(417) 328-4700

Fax: (855) 662-4032

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710681119 (CASSIE LYN MANESS, Pharm D) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710681119` (NPI-1 Individual Practitioner)
Provider / Legal Name	CASSIE LYN MANESS, Pharm D
Plain-English Specialty	Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist NUCC Code: `1835P0018X` (Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1100 S SPRINGFIELD AVE STE A, BOLIVAR, MO, 65613-2512
Practice Telephone / Fax	Tel: (417) 328-4700 \| Fax: (855) 662-4032
Administrative Mailing Address	50 BIG TREE TRL, BUFFALO, MO, 65622-4193
Enumeration & Last Sync	Enumerated: 2023-03-29 \| CMS Record Updated: 2023-03-29

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1100 S SPRINGFIELD AVE STE A, BOLIVAR, MO, 65613-2512

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Plain-English Taxonomy & CMS Crosswalk (1835P0018X)

What Does Taxonomy Code 1835P0018X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P0018X translates to:
"Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CASSIE LYN MANESS, Pharm D)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1835P0018X` — Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Plain English: Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	State: MO \| License: `2019036894` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CASSIE LYN MANESS, Pharm D (NPI #1710681119)