Nikki J Mann, GNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

28157094A Issued in IN

Practice address

3010 Independence Dr
Fort Wayne, IN 46808-1328

Phone

(260) 739-5821

Fax

(260) 527-4802

NPI assigned

Mar 2, 2007

Last updated

Feb 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Care Connections LLCGroup PAC ID 5799080511, 3 clinicians

Neuropsychiatric Associates, PCGroup PAC ID 9931166832, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
• Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
• Bluffton Regional Medical Center Hospital, Bluffton, IN, CCN 150075
• Heritage Pointe of Warren Nursing home, Warren, IN, CCN 155705

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17849/brand/1/csg/1/fhir/r4
• Direct secure messaging: nikki.mann.1@17849.direct.athenahealth.com

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.

• Advanced Care Connections

  • Primary Care Clinic/Center
  • Bluffton, IN
  • NPI 1780059790
  Medicare reassignment Care Compare group NPD
• Neuropsychiatric Associates, PC

  dba Geeta Bisht, MD

  • Child & Adolescent Psychiatry Physician
  • Fort Wayne, IN
  • NPI 1316940851

  Gerontology

  Medicare reassignment Care Compare group NPD
• Md2U Indiana LLC

  dba MD2U The Leader In Medical House Calls

  • Primary Care Clinic/Center
  • Indianapolis, IN
  • NPI 1598070740
  NPD (past)

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

• Adams County Memorial Hospital

  dba Heritage Pointe

  • Skilled Nursing Facility
  • Warren, IN
  • NPI 1346245271

  Nursing home

  Care Compare affiliation
• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • General Acute Care Hospital
  • Bluffton, IN
  • NPI 1376594366
  Care Compare affiliation
• Huntington Memorial Hospital, Inc.

  dba Parkview Huntington Hospital

  • General Acute Care Hospital
  • Huntington, IN
  • NPI 1003821729
  Care Compare affiliation
• Parkview Hospital, Inc.

  dba Parkview Regional Medical Center

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1366407603
  Care Compare affiliation

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1336278753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 INDEPENDENCE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081328",
            "telephone_number": "260-478-6240",
            "fax_number": "260-527-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 INDEPENDENCE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081328",
            "telephone_number": "260-739-5821",
            "fax_number": "260-527-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "NIKKI",
        "middle_name": "J",
        "credential": "GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "28157094A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert F Manges, MD
• Alexis Mann, PHARMD
• Jessica Mann, MS
• Michael Scott Mann, MD
• Nicholas J Mann, LMFT
• Ronald D Mann, PHARMD
• Magdalena Ruth Mannes, FNP-C
• Julie Anne Manry, O.D.
• David James Mansfield, CRNA
• Dennis Dale Mansfield, M.D.

• Gerontology Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Gerontology Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.