Individual provider Active NPI

Kimberly F. Manzone, MSN APRN

  • Adult Health Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1467654525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
232632 Issued in MA
Practice address
63 Main St
Hyannis, MA 02601-3124
Phone
(508) 775-2295
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 232632 MA Primary

Addresses

Primary practice location

63 Main St
Hyannis, MA 02601-3124

Mailing address

883 Main St
West Wareham, MA 02576-1327
Phone (508) 291-1416

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090323000257 MA Practitioner - Nurse Practitioner 2163589946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wiegandt and Associates PCGroup PAC ID 3375777931, 5 clinicians

Practice addresses (Care Compare)

2621 Cranberry Hwy
Wareham, MA 02571-1156
Phone (508) 295-4902

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232632MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Oct 1, 2025 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Pulmonary Internists and Consultants PC Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

315 Norwood Park S
Fl 1
Norwood, MA 02062
Phone (857) 307-0664

315 Norwood Park S
Norwood, MA 02062
Phone (781) 255-0770

Interoperability endpoints

  • Direct secure messaging: manzone.kimberly.bwh@direct.partners.masshiway.net

Organizations & group practices 5

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 6

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467654525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 MAIN ST",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025761327",
            "telephone_number": "508-291-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013124",
            "telephone_number": "508-775-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZONE",
        "first_name": "KIMBERLY",
        "middle_name": "F.",
        "credential": "MSN APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "232632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.