| Krista Mannino, APRN, CNP | |
| 995 University Ave W, Saint Paul, MN 55104-4796 | |
| (651) 771-2420 | |
| (651) 771-2421 | 
| Full Name | Krista Mannino | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 995 University Ave W, Saint Paul, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790217040 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | 244232-3 (Minnesota) | Secondary | 
| 363L00000X | Nurse Practitioner | 10154 (Minnesota) | Primary | 
| Entity Name | Group Health Plan Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Krista Mannino, APRN, CNP 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Krista Mannino, APRN, CNP 995 University Ave W, Saint Paul, MN 55104-4796 Ph: (651) 771-2420 | 
| Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406 | |
| Michelle Coleen Hicks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106 | |
| Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-240-5511 | |
| Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000 | |
| Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589 | |
| Jeanne Rancone,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517 | |
| Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616 |