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NICOLE LISETTE MANCINELLI PA-C
NPI 1619216272
Physician Assistant - Surgical in Tulsa, OK

Active since February 01, 2013PECOS EnrolledAccepts Medicare Assignment
2424 E. 21ST STREET, SUITE 320, TULSA, OK 74114(918) 392-4547(918) 392-4555 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Lisette Mancinelli Pa-c NPPES

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

NICOLE LISETTE MANCINELLI PA-C (NPI 1619216272) is an individual surgical provider in Tulsa, Oklahoma, licensed in Oklahoma (2195) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619216272
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE LISETTE MANCINELLICredential: PA-C
Location Address2424 E. 21ST STREET, SUITE 320Tulsa, OK 74114
Mailing Address2909 E 97th Ct, Apt. 2212Tulsa, OK 74137-7435 · (918) 392-4547 · Fax (918) 392-4555
Phone(918) 392-4547
Fax(918) 392-4555
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 1, 2013
Last NPPES UpdateSeptember 14, 2016
✔ NPI 1619216272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OK · 2195
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2195 (OK)
2424 E. 21ST STREET, Tulsa, OK 74114
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIN340783YPF1
Medicaid200474170AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending 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 and accepts Medicare assignment

Nicole Lisette Mancinelli Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698912178
PECOS Enrollment IDI20130501000375
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

MIDTOWN DERMATOLOGY LLC
Dermatology
2424 E. 21ST STREET, SUITE 340
TULSA, OK 74114
Tulsa County (918) 728-3100

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 Mancinelli's NPI number?

The NPI number for Nicole Mancinelli is 1619216272. It was assigned to this individual provider in the NPPES registry on February 1, 2013.

Where is Nicole Mancinelli located?

Nicole Mancinelli practices at 2424 E. 21st Street Suite 320, Tulsa, OK 74114. The listed phone number is (918) 392-4547.

What is Nicole Mancinelli's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Mancinelli enrolled in Medicare?

Yes. Nicole Mancinelli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Mancinelli accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Nicole Mancinelli 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.

Is Nicole Mancinelli affiliated with any hospitals?

According to CMS data, Nicole Mancinelli is affiliated with Mercy Hospital Oklahoma City, Inc.

When was this NPI record last updated?

The NPPES record for Nicole Mancinelli was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.