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MUKANDA MAMIE-CELINE MANSEKA FNP
NPI 1093319766
Registered Nurse in Marietta, GA

Active since November 24, 2020PECOS Enrolled
900 WYLIE RD SE, MARIETTA, GA 30067(770) 427-8727 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mukanda Mamie-celine Manseka Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUKANDA MAMIE-CELINE MANSEKA FNP (NPI 1093319766) is an individual registered nurse in Marietta, Georgia, licensed in Georgia (269353) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093319766
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMUKANDA MAMIE-CELINE MANSEKACredential: FNP
Location Address900 WYLIE RD SEMarietta, GA 30067-7857
Mailing AddressPo Box 1251Smyrna, GA 30081-1251 · (470) 244-5601
Phone(770) 427-8727
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1093319766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in GA · 269353
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F11200019 (GA)
900 WYLIE RD SE, Marietta, GA 30067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mukanda Mamie-celine Manseka Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082197868
PECOS Enrollment IDI20260310003285
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mukanda Manseka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
716 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRETTE CHA SVENSSON APRN-BC
Nurse Practitioner
900 WYLIE RD SE
MARIETTA, GA 30067
Cobb County (770) 427-8727
A. G. RHODES HOME, COBB INC.
Skilled Nursing Facility
900 WYLIE RD SE
MARIETTA, GA 30067
Cobb County (770) 427-8727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mukanda Manseka's NPI number?

The NPI number for Mukanda Manseka is 1093319766. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Mukanda Manseka located?

Mukanda Manseka practices at 900 Wylie Rd SE, Marietta, GA 30067. The listed phone number is (770) 427-8727.

What is Mukanda Manseka's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Mukanda Manseka enrolled in Medicare?

Yes. Mukanda Manseka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mukanda Manseka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mukanda Manseka reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mukanda Manseka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mukanda Manseka accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Mukanda Manseka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mukanda Manseka was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.