Nathalie Rosine Kori Nkenlifack Manhenkeu, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209023838 Issued in IL

Practice address

1409 Ogelthorpe Ave
Urbana, IL 61802-4749

Phone

(217) 819-7328

NPI assigned

Aug 23, 2021

Last updated

Aug 26, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thriveworks Telepsychiatry - IllinoisGroup PAC ID 4587035225, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Dei Gracia Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Urbana, IL
  • NPI 1235018987
  Medicare reassignment NPD Authorized official
• Thriveworks Telepsychiatry - Illinois

  dba Thriveworks

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1154099620
  Medicare reassignment Care Compare group NPD
• Chambana Urgent Care and Walk in Clinic

  • Urgent Care Clinic/Center
  • Champaign, IL
  • NPI 1770358871
  Medicare reassignment NPD
• Community Health Partnership of Illinois

  • Federally Qualified Health Center (FQHC)
  • Aurora, IL
  • NPI 1932375169
  Medicare reassignment NPD
• Promise Healthcare NFP

  dba Frances Nelson Health Center

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1578821005
  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1174925663
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• Dei Gracia Community Health Foundation NFP

  • Psychiatry Physician
  • Urbana, IL
  • NPI 1457206294
  NPD Authorized official
• Dei Gracia Community Health Foundation NFP

  • Primary Care Nurse Practitioner
  • Urbana, IL
  • NPI 1669383402
  Authorized official Same address or phone
• Community Health Partnership of Illinois

  dba Princeville Medical Center

  • Federally Qualified Health Center (FQHC)
  • Princeville, IL
  • NPI 1336767540
  NPD
• Promise Healthcare NFP

  dba Promise Healthcare - Ready School

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1801687728
  NPD
• Promise Healthcare NFP

  dba Promise Healthcare at the USBHC

  • Federally Qualified Health Center (FQHC)
  • Urbana, IL
  • NPI 1952894180
  NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1609543248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 OGELTHORPE AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618024749",
            "telephone_number": "217-819-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 OGELTHORPE AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618024749",
            "telephone_number": "217-819-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORI NKENLIFACK MANHENKEU",
        "first_name": "NATHALIE ROSINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "work computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1409 Ogelthorpe Ave",
            "city": "Urbana",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618024749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anem Kohli, M.B.B.S, M.D., B.SC.
• Ronald P Konchanin, MD
• Avery Luh-Yuan Kong, D.O.
• Joshua Koopman, PA-C
• Marianne M Kopmann, NP
• Jeffrey A Kornblum, MD
• Shanelle Marie Koroma, LPHA, LCSW
• Jan Kotynek, M.D.
• Oormila P Kovilam, MD
• Caitlin M Kownacki, R.D.

• Family Nurse Practitioner in Urbana, IL
• Providers in Urbana, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.