Anthony L Mannila, APNP FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704449142 Issued in MI

Practice address

930 W Historic Mitchell St
Milwaukee, WI 53204-3533

Phone

(414) 316-5103

Fax

(414) 249-6460

NPI assigned

Mar 6, 2017

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gerald L Ignace Indian Health Center IncGroup PAC ID 5799677282, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amannila810628@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gerald L. Ignace Indian Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Milwaukee, WI
  • NPI 1023064086
  Medicare reassignment Care Compare group NPD
• Lac Vieux Desert Band of Lake Superior Chippewa Indians

  dba LVD Health Center

  • Federally Qualified Health Center (FQHC)
  • Watersmeet, MI
  • NPI 1114071578
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1053851204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "WATERSMEET",
            "state": "MI",
            "postal_code": "499690009",
            "telephone_number": "906-358-4588",
            "fax_number": "906-358-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W HISTORIC MITCHELL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043533",
            "telephone_number": "414-316-5103",
            "fax_number": "414-249-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N5241 US Highway 45",
            "address_purpose": "LOCATION",
            "city": "Watersmeet",
            "state": "MI",
            "postal_code": "499690009",
            "country_code": "US",
            "telephone_number": "906-358-4588",
            "fax_number": "906-358-4118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNILA",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "APNP FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704449142",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7568-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ranaye Mann, ATR, LPC, SAC-IT
• Shiquita Mann
• Tina M Mann, LPN
• Manna Behavioral Services (Executive Director)
• Rajeev Reddy Mannem, M.D.
• Bradley L. Manning III, M.D.
• Elonzo Manning Jr., COORDINATOR
• Erika Manning, MD, PHD
• Christina Marie Mannion, PA-C
• Christina Manolatos, MA,LPC, NBCCH

• Family Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.