MRS. KALI SUSAN MANZ CNP
NPI 1912677097
Nurse Practitioner - Gerontology in Cooperstown, ND

Active since September 20, 2021PECOS EnrolledAccepts Medicare Assignment
107 12TH ST S, COOPERSTOWN, ND 58425(701) 786-1700(701) 786-7122 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2026, Sep 27, 2021, Sep 20, 2021 (3 updates tracked since 2021).

About Mrs. Kali Susan Manz Cnp NPPES

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

MRS. KALI SUSAN MANZ CNP (NPI 1912677097) is an individual gerontology provider in Cooperstown, North Dakota, licensed in North Dakota (R53173) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912677097
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. KALI SUSAN MANZCredential: CNP
Location Address107 12TH ST SCooperstown, ND 58425-4501
Mailing Address107 12th St SCooperstown, ND 58425-4501 · (701) 786-1700 · Fax (701) 786-7122
Fax(701) 786-7122
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 20, 2021
Last NPPES UpdateMay 9, 20263 updates tracked since enumeration
NPPES CertifiedMay 9, 2026
NPI 1912677097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in ND · R53173
107 12TH ST S, Cooperstown, ND 58425

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 and accepts Medicare assignment

Mrs. Kali Susan Manz Cnp 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 ID7618360033
PECOS Enrollment IDI20220208001534, I20250626003531
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 3

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Cooperstown Medical Center

Critical Access Hospitals · Cooperstown, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351306
Location1200 Roberts Ave NECooperstown, ND 58425 · Griggs County
Emergency services

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number351335
Location2422 20th St SWJamestown, ND 58401 · Stutsman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58425 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Other Providers at the Same Location NPPES 7

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

Durable Medical Equipment & Medical Supplies
107 12TH ST S
COOPERSTOWN, ND 58425
Nurse Practitioner (Family)
107 12TH ST S
COOPERSTOWN, ND 58425
General Acute Care Hospital (Critical Access)
107 12TH ST S
COOPERSTOWN, ND 58425
Medicare Defined Swing Bed Unit
107 12TH ST S
COOPERSTOWN, ND 58425
Physical Therapist
107 12TH ST S
COOPERSTOWN, ND 58425
Family Medicine
107 12TH ST S
COOPERSTOWN, ND 58425
Clinic/Center (Rural Health)
107 12TH ST S
COOPERSTOWN, ND 58425

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 Kali Manz's NPI number?

The NPI number for Kali Manz is 1912677097. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Kali Manz located?

Kali Manz practices at 107 12th St S, Cooperstown, ND 58425. The listed phone number is (701) 786-1700.

What is Kali Manz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kali Manz enrolled in Medicare?

Yes. Kali Manz 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 Kali Manz accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kali Manz 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 Kali Manz affiliated with any hospitals?

According to CMS data, Kali Manz is affiliated with Sanford Medical Center Fargo, Cooperstown Medical Center and Jamestown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kali Manz was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.