Individual provider Active NPI

Tracy Manikone Manhnieo, MSN, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1447707591
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2017021174 Issued in MO
Practice address
120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011
Phone
(816) 246-4302
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 53-77719-042 KS
Acute Care Nurse Practitioner 363LA2100X 2017021174 MO
Adult Health Nurse Practitioner 363LA2200X 53-77719-042 KS
Adult Health Nurse Practitioner 363LA2200X 2017021174 MO
Critical Care Medicine Nurse Practitioner 363LC0200X 53-77719-042 KS
Critical Care Medicine Nurse Practitioner 363LC0200X 2017021174 MO
Family Nurse Practitioner 363LF0000X 2017021174 MO
Family Nurse Practitioner 363LF0000X 53-77719-042 KS
Gerontology Nurse Practitioner 363LG0600X 2017021174 MO
Gerontology Nurse Practitioner 363LG0600X 53-77719-042 KS
Primary Care Nurse Practitioner 363LP2300X 53-77719-042 KS
Occupational Health Nurse Practitioner 363LX0106X 53-77719-042 KS
Occupational Health Nurse Practitioner 363LX0106X 2017021174 MO
Primary Care Nurse Practitioner 363LP2300X 2017021174 MO Primary

Addresses

Primary practice location

120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011

Mailing address

120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011
Phone (816) 246-4302

Other practice location 1

6401 E Front St
Kansas City, MO 64120-1356
Phone (816) 241-0603

Other practice location 2

15430 S Rogers Rd
Olathe, KS 66062-3497
Phone (913) 495-9905

Other practice location 3

14809 W 95th St
Lenexa, KS 66215-5220
Phone (913) 894-6664

Other practice location 4

4214 Kansas Ave
Kansas City, KS 66106-1119
Phone (913) 321-7557

Other practice location 5

1333 Meadowlark Ln Ste 200
Kansas City, KS 66102-1200
Phone (913) 596-2774

Other practice location 6

6501 E Commerce Ave Ste 110
Kansas City, MO 64120-2176
Phone (816) 483-5550

Other practice location 7

19000 E Eastland Center Ct Ste 200
Independence, MO 64055-7023
Phone (816) 478-9299

Other practice location 8

599 Armour Rd
North Kansas City, MO 64116-3513
Phone (816) 421-0750

Other practice location 9

12220A Blue Ridge Ext Ste A
Grandview, MO 64030-1102
Phone (816) 763-1755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170920003680 MO Practitioner - Nurse Practitioner 4183996176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 NE Saint Lukes Blvd
Suite 200
Lees Summit, MO 64086-6011
Phone (816) 246-4302

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-77719-042KSMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Nov 15, 2021 Accepting new patients
Meritas Health Corporation CurrentSince Nov 15, 2021 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince May 12, 2022 Accepting new patients
Rockhill Orthopaedic Specialists Inc Nurse Practitioner CurrentSince Oct 11, 2022 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

701 E 101st Ter
Kansas City, MO 64131
Phone (816) 523-0100

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

120 NE Saint Lukes Blvd
Ste 200
Lees Summit, MO 64086
Phone (816) 251-7202

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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.

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.

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    "enumeration_type": "NPI-1",
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    "number": "1447707591",
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            "address_1": "120 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
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            "telephone_number": "816-246-4302"
        },
        {
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        }
    ],
    "practiceLocations": [
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            "telephone_number": "816-241-0603",
            "fax_number": "816-241-6276",
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        },
        {
            "address_1": "15430 S Rogers Rd",
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            "postal_code": "660623497",
            "country_code": "US",
            "telephone_number": "913-495-9905",
            "fax_number": "913-495-9945",
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        },
        {
            "address_1": "14809 W 95th St",
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            "fax_number": "913-984-6891",
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        {
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            "fax_number": "913-321-7667",
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        },
        {
            "address_1": "1333 Meadowlark Ln Ste 200",
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            "postal_code": "661021200",
            "country_code": "US",
            "telephone_number": "913-596-2774",
            "fax_number": "913-596-2890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 E Commerce Ave Ste 110",
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            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641202176",
            "country_code": "US",
            "telephone_number": "816-483-5550",
            "fax_number": "816-483-6088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19000 E Eastland Center Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640557023",
            "country_code": "US",
            "telephone_number": "816-478-9299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 Armour Rd",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163513",
            "country_code": "US",
            "telephone_number": "816-421-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12220A Blue Ridge Ext Ste A",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640301102",
            "country_code": "US",
            "telephone_number": "816-763-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANHNIEO",
        "first_name": "TRACY",
        "middle_name": "MANIKONE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
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            "license": "53-77719-042",
            "primary": false
        },
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            "code": "363LA2100X",
            "taxonomy_group": "",
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            "license": "2017021174",
            "primary": false
        },
        {
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            "taxonomy_group": "",
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            "state": "KS",
            "license": "53-77719-042",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
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            "license": "2017021174",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "KS",
            "license": "53-77719-042",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MO",
            "license": "2017021174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017021174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
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            "license": "53-77719-042",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
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            "state": "MO",
            "license": "2017021174",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-77719-042",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
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            "state": "KS",
            "license": "53-77719-042",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
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            "state": "KS",
            "license": "53-77719-042",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
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            "license": "2017021174",
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        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
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            "state": "MO",
            "license": "2017021174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.