Individual provider Active NPI

Michael James Manley, FNP-BC

  • Family Nurse Practitioner
  • Augusta, KS
National Provider Identifier
1639403348
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5382453031 Issued in KS
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005002872 KS Practitioner - Nurse Practitioner 9537291844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6420COMDAddiction (Substance Use Disorder) Counselor
5382453031KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montoya Family Practice, PA Family CurrentSince Oct 25, 2024 Accepting new patients
Augusta Family Practice, PA CurrentSince Oct 1, 2023 Accepting new patients
Augusta Family Practice, PA CurrentSince Oct 1, 2023 Accepting new patients
WHW Inc Chiropractor CurrentSince Oct 4, 2010 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 PastSince Nov 15, 2012 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.