Individual provider Active NPI

Robert Samuel Manke

  • Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1104706654
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-85023 Issued in KS
Practice address
929 SW Mulvane St
Topeka, KS 66606-1677
Phone
(785) 270-8625
Fax
(785) 270-8624
NPI assigned
Sep 5, 2025
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-85023 KS Primary
Student in an Organized Health Care Education/Training Program 390200000X KS

Addresses

Primary practice location

929 SW Mulvane St
Topeka, KS 66606-1677

Mailing address

7331 SE Berryton Rd
Berryton, KS 66409-9601
Phone (414) 517-4596

Other practice location 1

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other practice location 2

7331 SE Berryton Rd
Berryton, KS 66409-9601
Phone (414) 517-4596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20260112002422 KS Practitioner - Nurse Practitioner 7810473634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 SW 10H Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

909 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 270-4613

929 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 354-6242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-85023KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jan 8, 2026 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jan 8, 2026 Accepting new patients

Locations

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

929 SW Mulvane St
Topeka, KS 66606
Phone (785) 270-4100

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1104706654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 SE BERRYTON RD",
            "city": "BERRYTON",
            "state": "KS",
            "postal_code": "664099601",
            "telephone_number": "414-517-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061677",
            "telephone_number": "785-270-8625",
            "fax_number": "785-270-8624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7331 SE Berryton Rd",
            "address_purpose": "LOCATION",
            "city": "Berryton",
            "state": "KS",
            "postal_code": "664099601",
            "country_code": "US",
            "telephone_number": "414-517-4596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANKE",
        "first_name": "ROBERT",
        "middle_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-85023",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.