| Nicole Mandacina, | |
|
19550 E 39th St S Ste 215, Independence, MO 64057-2326 | |
| (816) 461-6837 | |
| (816) 833-1760 |
| Full Name | Nicole Mandacina |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 19550 E 39th St S Ste 215, Independence, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629621941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 53-80676 (Kansas) | Secondary |
| 363L00000X | Nurse Practitioner | 2019027103 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Curana Health Of Missouri-kansas Llc | 4789716531 | 115 |
| Ch Specialty Services Ks Llc | 6800261819 | 37 |
| Entity Name | Curana Health Of Missouri-kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306165337 PECOS PAC ID: 4789716531 Enrollment ID: O20120621000598 |
| Entity Name | Ch Specialty Services Ks Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770282188 PECOS PAC ID: 6800261819 Enrollment ID: O20230405000528 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Mandacina, 9015 N Myrtle Ave, Kansas City, MO 64156-1216 Ph: () - | Nicole Mandacina, 19550 E 39th St S Ste 215, Independence, MO 64057-2326 Ph: (816) 461-6837 |
Jacqueline K Hopkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N Osage St, Suite 200, Independence, MO 64050 Phone: 816-356-2000 Fax: 816-737-1796 | |
Ms. Valerie Mae Monroy, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4731 S Cochise Dr, Suite 100, Independence, MO 64055 Phone: 816-373-1142 Fax: 816-373-9222 | |
Kara Linn Perdue, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19045 E Valley View Pkwy Ste G, Independence, MO 64055 Phone: 816-398-7171 | |
Tara M Lea, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19550 E 39th St S Ste 200, Independence, MO 64057 Phone: 816-833-0466 Fax: 816-833-4155 | |
Mrs. Jill Elizabeth Wiese, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19600 E 39th St S, Attn: Nicu, Independence, MO 64057 Phone: 816-698-7340 | |
Katelynn R Crawford, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652 | |
Paige Nicole Huffman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14310 E 42nd St S Ste 600, Independence, MO 64055 Phone: 816-333-9200 |