NPIMap

Individual provider Active NPI

Julie Manco, NP

  • Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1740690726
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8171 Issued in MN
Practice address
2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone
(612) 256-8225
Fax
(612) 457-0216
NPI assigned
Apr 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011509 IL
Nurse Practitioner 363L00000X 8171 MN Primary

Addresses

Primary practice location

2004 Ford Pkwy
Saint Paul, MN 55116-1931

Mailing address

2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone (612) 256-8225

Other names 1

  • Julie Zamora Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julie.manco.1@31254.direct.athenahealth.com Direct Herself Health MN PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122002599 MN Practitioner - Nurse Practitioner 2668696022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Herself Health MN PCGroup PAC ID 6507234820, 31 clinicians

Practice addresses (Care Compare)

2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone (612) 256-8225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8171MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Clinic MN PLLC CurrentSince Nov 8, 2021 Accepting new patients
Herself Health MN PC CurrentSince Mar 15, 2023 Accepting new patients

Locations

5450 Lyndale Ave S
Minneapolis, MN 55419
Phone (612) 256-8225

307 1st Ave NE
Minneapolis, MN 55413
Phone (612) 284-8206

2004 Ford Pkwy
Saint Paul, MN 55116
Phone (612) 256-8225

2000 Rahncliff Ct
Ste 400
Saint Paul, MN 55122
Phone (888) 290-1209

2401 Fairview Ave N
Ste 145
Saint Paul, MN 55113
Phone (763) 225-9050

Interoperability endpoints

  • Direct secure messaging: julie.manco.1@31254.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/31254/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1740690726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161931",
            "telephone_number": "612-256-8225",
            "fax_number": "612-457-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161931",
            "telephone_number": "612-256-8225",
            "fax_number": "612-457-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCO",
        "first_name": "JULIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011509",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "8171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie.manco.1@31254.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Herself Health MN PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2004 Ford Pkwy",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551161931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ZAMORA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.