Individual provider Active NPI

Karen W Manning, FNP

  • Family Nurse Practitioner
  • Springville, NY
National Provider Identifier
1114909066
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332545 Issued in NY
Practice address
230 S Cascade Dr
Springville, NY 14141-9275
Phone
(716) 592-3600
Fax
(716) 592-3613
NPI assigned
Nov 16, 2005
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332545 NY Primary

Addresses

Primary practice location

230 S Cascade Dr
Springville, NY 14141-9275

Mailing address

230 S Cascade Dr
Springville, NY 14141-9275
Phone (716) 592-3600

Other identifiers 8

IdentifierTypeStateIssuer
0003153OtherNYGHI
02209070MedicaidNY
160993858OtherNYCHAMPUS
0145550001OtherNYDMERC
P00189262OtherNYRR MEDICARE
000560417003OtherNYBCBS
9511885AOAOtherNYINDEPENDENT HEALTH
00026522401OtherNYUNIVERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051004000351 NY Practitioner - Nurse Practitioner 6507891082 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F332545NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Oct 15, 2010 Accepting new patients
Wny Medical PC Family CurrentSince Oct 1, 2019 Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients
Concord Medical Group PC Past Accepting new patients

Locations

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

210 E Main St
Springville, NY 14141
Phone (716) 592-3600

230 S Cascade Dr
Springville, NY 14141
Phone (716) 592-3600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1114909066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S CASCADE DR",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141419275",
            "telephone_number": "716-592-3600",
            "fax_number": "716-592-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S CASCADE DR",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141419275",
            "telephone_number": "716-592-3600",
            "fax_number": "716-592-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "KAREN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0003153",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02209070",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "160993858",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0145550001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00189262",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000560417003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9511885AOA",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026522401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, NY

Sources for this page

Verify at the official NPI Registry.