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NICOLE MANDACINA
NPI 1629621941
Nurse Practitioner in Independence, MO

Active since July 17, 2019PECOS EnrolledAccepts Medicare Assignment
18.13/100
CMS Quality Rating
19550 E 39TH ST S STE 215, INDEPENDENCE, MO 64057(816) 461-6837(816) 833-1760 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2019, Jul 17, 2019 (2 updates tracked since 2019).

About Nicole Mandacina NPPES

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

NICOLE MANDACINA (NPI 1629621941) is an individual nurse practitioner in Independence, Missouri, licensed in Missouri (2019027103) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629621941
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE MANDACINA
Location Address19550 E 39TH ST S STE 215Independence, MO 64057-2326
Mailing Address9015 N Myrtle AveKansas City, MO 64156-1216
Phone(816) 461-6837
Fax(816) 833-1760
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 17, 2019
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1629621941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MO · 2019027103✔ Licensed in KS · 53-80676
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
19550 E 39TH ST S STE 215, Independence, MO 64057
Open in Google Maps ↗

Secondary Practice Location 1

Location 14401 Wornall RdKansas City, MO 64111-3220 · Phone (816) 932-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, UnitedHealthcare.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 Mandacina 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 ID9335478783
PECOS Enrollment IDI20250421000163
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
353 services143 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
161 services82 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
106 services106 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
63 services63 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
32 services18 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
30 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64057 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

18.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost60.45

Other Providers at the Same Location NPPES 3

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

STEPHEN DICKSON M.D.
Internal Medicine (Cardiovascular Disease)
19550 E 39TH ST S STE 215
INDEPENDENCE, MO 64057
Jackson County (816) 461-6837
DR. JAYASHEEL ONESIMUS ESHCOL M.D.
Internal Medicine (Interventional Cardiology)
19550 E 39TH ST S STE 215
INDEPENDENCE, MO 64057
Jackson County (816) 461-6837
CHRISTOPHER D JANISH MD
Internal Medicine (Interventional Cardiology)
19550 E 39TH ST S STE 215
INDEPENDENCE, MO 64057
Jackson County (816) 461-6837

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 Mandacina's NPI number?

The NPI number for Nicole Mandacina is 1629621941. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Where is Nicole Mandacina located?

Nicole Mandacina practices at 19550 E 39th St S Ste 215, Independence, MO 64057. The listed phone number is (816) 461-6837.

What is Nicole Mandacina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Mandacina enrolled in Medicare?

Yes. Nicole Mandacina 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 Mandacina accept?

Health plans from Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Nicole Mandacina 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 Mandacina was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.