Kelly A Manicke is a Indianapolis, Indiana based nurse practitioner with 17 years of experience in . She completed her graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly A Manicke is 71002746A for Adult Health in Indiana. Her current practice location is 7250 Clearvista Dr Ste 355, Indianapolis. Patients can reach her at 317-621-5676. Kelly A Manicke is NP and her NPI number (Unique professional ID assigned by NPPES) is 1508015439. Kelly A Manicke has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly A Manicke speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelly A Manicke
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2008
Accepts Medicare Assignment:
Yes
Practice Address:
7250 Clearvista Dr Ste 355, Indianapolis, Indiana, 46256-5609
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3375604812
Enrollment ID:
I20081203000151
NPI Number:
1508015439
NPI Enumeration Date:
16 Sep, 2008
NPI Last Update On:
30 Apr, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly A Manicke are as mentioned below.
License Number
Specialization
State
Status
71002746A
Adult Health
Indiana
Primary
28164416
Registered Nurse
Indiana
Secondary
71002746A
Nurse Practitioner
Indiana
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kelly A Manicke is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Community Physicians Of Indiana Inc (1759416662)
1228
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly A Manicke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000622179
Other
Indiana
ANTHEM PROVIDER NUMBER
200920210
Medicaid
Indiana
P00774860
Other
Indiana
RAILROAD MEDICARE
P01678952
Other
Indiana
MEDICARE RAILROAD PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly A Manicke 6626 E 75th St, Suite 500 Indianapolis, Indiana
Zip:
46250-2890
Patients can reach Kelly A Manicke at 7250 Clearvista Dr Ste 355, Indianapolis, Indiana or can call to book an appointment on 317-621-5676.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.