MRS. NICOLE KELLEY MANNING N.P.
NPI 1457696015
Nurse Practitioner - Adult Health in Worcester, MA
About Mrs. Nicole Kelley Manning N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE KELLEY MANNING N.P. (NPI 1457696015) is an individual adult health provider in Worcester, Massachusetts, licensed in Massachusetts (236464) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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)
Mrs. Nicole Kelley Manning N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WORCESTER, MA 01605
WORCESTER, MA 01605
WORCESTER, MA 01605
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 Nicole Manning's NPI number?
The NPI number for Nicole Manning is 1457696015. It was assigned to this individual provider in the NPPES registry on December 6, 2012.
Where is Nicole Manning located?
Nicole Manning practices at 102 Shore Dr Suite 403, Worcester, MA 01605. The listed phone number is (508) 856-0458.
What is Nicole Manning's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Nicole Manning enrolled in Medicare?
Yes. Nicole Manning is registered in the Medicare PECOS enrollment system.
What insurance does Nicole Manning accept?
Health plans from Anthem Blue Cross and Blue Shield list Nicole Manning 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 Nicole Manning was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Nicole Kelley Manning, N.P. · NPI 1457696015
Adult Health physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since December 6, 2012.
## Identity
- **NPI:** 1457696015 (Entity type: Individual)
- **Enumerated:** December 6, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 236464 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 SHORE DR, SUITE 403, Worcester, MA 01605-3154
- **Phone:** (508) 856-0458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 12, 2014
- **Other identifiers:** Medicaid 110096015A (MA); Medicare PIN 003437701 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1457696015) · Data from the CMS NPPES public registry.