Kristin L Mannke

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN262875 Issued in MA

Practice address

349 Broadway
Somerville, MA 02145-2407

Phone

(617) 702-8280

Fax

(617) 245-6755

NPI assigned

Oct 21, 2013

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 MA

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

Oregon Health Sciences University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mystic Valley Dermatology Associates PCGroup PAC ID 8022083344, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Hospital Hospital, Winchester, MA, CCN 220105

Merit-based Incentive Payment System (MIPS)

Final score

96.02 of 100Reported as individual

Quality

92.77

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Mystic Valley Dermatology Associates, P.C.

  • Dermatology Physician
  • Stoneham, MA
  • NPI 1548213606
  Medicare reassignment Care Compare group NPD
• Mystic Valley Mass, PC

  • Dermatology Physician
  • Stoneham, MA
  • NPI 1184377343
  NPD (past)

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

• Winchester Hospital

  • General Acute Care Hospital
  • Winchester, MA
  • NPI 1790740777
  Care Compare affiliation

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1376971838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021452407",
            "telephone_number": "617-702-8280",
            "fax_number": "617-245-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNKE",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-21",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN262875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Managed Health Resources, Inc
• Patrick James Manders
• Lynn Anne Mangiaracina, LICSW
• Anupa Manjunatha, PA-C
• Theresa Manning, APRN
• Neli Marcheva
• Nora Ruth Marchiando, M.D.
• Elisabeth Marcucci, LICSW
• Avery Elizabeth Margenot, MPH, C-DOULA
• Lillian Mary Margola

• Family Nurse Practitioner in Somerville, MA
• Providers in Somerville, MA by specialty
• Family Nurse Practitioner in Massachusetts

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