Active NPI
Michael James Manley, FNP-BC
- Family Nurse Practitioner
- Augusta, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5382453031
- Practice address
- 1306 State St
Augusta, KS 67010-1126 - Phone
- (316) 775-9191
- Fax
- (316) 775-0348
- NPI assigned
- Sep 28, 2009
- Last updated
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5382453031 | KS | Primary |
Addresses
Primary practice location
1306 State St
Augusta, KS 67010-1126
Mailing address
875 S Sagebrush CT
Wichita, KS 67230-7663
Phone (316) 806-6707
Other practice location 1
1001 N Rose Hill Rd
Rose Hill, KS 67133-9464
Phone (316) 440-4551
Other practice location 2
1445 N Rock Rd Ste 130
Wichita, KS 67206-1287
Phone (316) 337-5757
Other practice location 3
1001 N Rose Hill Rd
Rose Hill, KS 67133-9464
Phone (316) 440-4551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6420 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 5382453031 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montoya Family Practice, PA | Family | Current | Accepting new patients |
| Augusta Family Practice, PA | Current | Accepting new patients | |
| Augusta Family Practice, PA | Current | Accepting new patients | |
| WHW Inc | Chiropractor | Current | Accepting new patients |
| Cartwright Chiropractic Clinic, P.C. | Chiropractor | Past | Accepting new patients |
| Wellness Strategies LLC | Past | Accepting new patients | |
| Countryside Health & Wellness LLC | Chiropractor | Past | Accepting new patients |
Locations
1306 State St
Augusta, KS 67010
Phone (316) 775-9191
4601 E Douglas Ave
Ste 118
Wichita, KS 67218
Phone (316) 260-6712
6224 Shadybrook St
Wichita, KS 67208
Phone (316) 682-7246
8451 E Pawnee St
Wichita, KS 67207
Phone (316) 618-0035
311 Arsenal St
Watertown, MA 02472
Phone (617) 924-5100
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Augusta, KS
- NPI 1821103987
-
- Chiropractor
- Wichita, KS
- NPI 1871802165
-
dba Augusta Rural Health Clinic
- Rural Health Clinic/Center
- Augusta, KS
- NPI 1508060864
-
- Family Medicine Physician
- Wichita, KS
- NPI 1265592232
-
dba Premier Physical Medicine
- Medical Physician Assistant
- Wichita, KS
- NPI 1578847182
-
- Chiropractor
- Northglenn, CO
- NPI 1346365723
-
- Chiropractor
- Westminster, CO
- NPI 1811266125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1639403348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 S SAGEBRUSH CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672307663",
"telephone_number": "316-806-6707",
"fax_number": "316-337-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 STATE ST",
"city": "AUGUSTA",
"state": "KS",
"postal_code": "670101126",
"telephone_number": "316-775-9191",
"fax_number": "316-775-0348"
}
],
"practiceLocations": [
{
"address_1": "1001 N Rose Hill Rd",
"address_purpose": "LOCATION",
"city": "Rose Hill",
"state": "KS",
"postal_code": "671339464",
"country_code": "US",
"telephone_number": "316-440-4551",
"fax_number": "316-440-4458",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1445 N Rock Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672061287",
"country_code": "US",
"telephone_number": "316-337-5757",
"fax_number": "316-337-5758",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 N Rose Hill Rd",
"address_purpose": "LOCATION",
"city": "Rose Hill",
"state": "KS",
"postal_code": "671339464",
"country_code": "US",
"telephone_number": "316-440-4551",
"fax_number": "316-440-4458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANLEY",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-28",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "5382453031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.