Marti Manko, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP11106 Issued in AZ

Practice address

3540 E Baseline Rd Ste 150
Phoenix, AZ 85042-9630

Phone

(602) 685-6000

Fax

(602) 243-5390

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

Yes

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 AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marti.mankofnp.p1@direct.lifewell.nextgenshare.com
• Direct secure messaging: mmanko401860@direct.peacehealth.org
• Direct secure messaging: marti.manko.p1@direct.terros.nextgenshare.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.

• Lifewell Behavioral Wellness

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1417050337
  Medicare reassignment NPD
• Terros Inc

  dba Terros Health - University Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1356202360
  NPD
• Terros Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1801362488
  NPD
• Terros, Inc.

  dba Terros Health

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1841498060
  NPD
• Buena Vista Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Chandler, AZ
  • NPI 1053979724
  NPD (past)
• Buena Vista Recovery, LLC

  • Physical Disabilities Residential Treatment Facility
  • Chandler, AZ
  • NPI 1912523549
  NPD (past)
• Lifewell Behavioral Wellness

  dba Lifewell Behavioral Wellness - Royal Palms

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1982191284
  NPD (past)
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)
• Terros, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1992866834
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1497259725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 E BASELINE RD STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850429630",
            "telephone_number": "602-685-6000",
            "fax_number": "602-243-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4451 E Oak St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850082410",
            "country_code": "US",
            "telephone_number": "602-685-6000",
            "fax_number": "602-508-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANKO",
        "first_name": "MARTI",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina M Manion, REGINA MANION
• Angelina Manjarrez
• Carla Jeanene Manjarrez
• Fatima Yarely Manjarrez
• Christina Mankin, MSN, FNP-BC
• Jeanette Manley, L.P.C.
• Luella Maria Manlucu, M.D.
• Christian James Manly, PHYSICIAN ASSISTANT
• Mann Norterra Dental, LLC. (Norterra Dental Care)
• Alicia Mann, ATC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.