DR. NICOLE M MANCINI DDS
NPI 1356563290
Dentist - General Practice in Johnson City, TN

Q: What is Nicole Mancini's NPI number?

The NPI number for Nicole Mancini is 1356563290. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Nicole Mancini's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mancini was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 02, 2007PECOS Enrolled

2151 CENTURY LN, JOHNSON CITY, TN 37604(423) 929-6941(423) 929-6972 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2019, Mar 8, 2019 (2 updates tracked since 2019).

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About Dr. Nicole M Mancini Dds NPPES

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

DR. NICOLE M MANCINI DDS (NPI 1356563290) is an individual general practice provider in Johnson City, Tennessee, licensed in Tennessee (10919) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1356563290

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. NICOLE M MANCINICredential: DDS

Location Address2151 CENTURY LNJohnson City, TN 37604

Mailing AddressPo Box 70403Johnson City, TN 37614-1703 · (423) 433-6057 · Fax (423) 433-6060

Phone(423) 929-6941

Fax(423) 929-6972

Sole ProprietorYes

Enumeration DateMay 2, 2007

Last NPPES UpdateJune 20, 20192 updates tracked since enumeration

✔ NPI 1356563290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · 10919

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2151 CENTURY LN, Johnson City, TN 37604

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Secondary Practice Location 1

Location 12151 Century LnJohnson City, TN 37604 · Phone (423) 929-6941 · Fax (423) 929-6972

Other Identifiers 1

MedicaidQ047672TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole M Mancini Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. REBECCA ELLEN FLORA-WATERMAN APRN, FNP

Nurse Practitioner (Primary Care)