Active NPI
Laurie A Mancini, CNP
- Adult Health Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704216344
- Practice address
- 4100 John R St
Karmanos Cancer Ctr Midlevels
Detroit, MI 48201-2013 - Phone
- (800) 527-6266
- Fax
- (313) 576-8381
- NPI assigned
- Mar 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704216344 | MI | |
| Adult Health Nurse Practitioner | 363LA2200X | 4704216344 | MI | Primary |
Addresses
Primary practice location
4100 John R St
Karmanos Cancer Ctr Midlevels
Detroit, MI 48201-2013
Mailing address
1420 Stephenson Hwy
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (248) 581-5977
Other practice location 1
19401 Hubbard Dr
Dearborn, MI 48126-2641
Phone (313) 982-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19401 Hubbard Dr
Dearborn, MI 48126-2641
Phone (313) 982-8100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.26 of 100
- Quality
- 64.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704216344 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Henry Ford Health System | Nurse Practitioner | Current | Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
Interoperability endpoints
- lmancini@direct.dmc.org
- lmancini1054298@direct.hfhs.org
Organizations & group practices 3
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.
-
- Nurse Practitioner
- Detroit, MI
- NPI 1104900455
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1609199686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 STEPHENSON HWY",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831189",
"telephone_number": "248-581-5977",
"fax_number": "248-581-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 JOHN R ST",
"address_2": "KARMANOS CANCER CTR MIDLEVELS",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012013",
"telephone_number": "800-527-6266",
"fax_number": "313-576-8381"
}
],
"practiceLocations": [
{
"address_1": "19401 Hubbard Dr",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481262641",
"country_code": "US",
"telephone_number": "313-982-8100",
"fax_number": "313-982-8072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANCINI",
"first_name": "LAURIE",
"middle_name": "A",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-05",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704216344",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704216344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.