Nicole M Manlin (NPI# 1649225103, PAC ID# 6800815242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649225103 |
| PAC ID by PECOS | 6800815242 |
| Professional Enrollment ID | I20051115001020 |
| Full Name | Nicole M Manlin |
| Organization Legal Name | SPECIALIZED WOUND MANAGEMENT LLC |
| Address |
14805 N Outer 40 Rd Suite 320 Chesterfield MO 63017-6060 |
| Phone Number | 6365360183 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284628173 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12349 Depaul Dr, Anna House, Bridgeton, MO 63044-2512 | 3142097979 | SPECIALIZED WOUND MANAGEMENT LLC |
| 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 | 6365360183 | SPECIALIZED WOUND MANAGEMENT LLC |
| 723 S Laclede Station Rd, Saint Louis, MO 63119-4911 | 3149685570 | SPECIALIZED WOUND MANAGEMENT LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 77% |
| Organization Legal Name | SPECIALIZED WOUND MANAGEMENT LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corrie B Hitzelberger | Nurse Practitioner | Specialized Wound Management LLC | 13190 S Outer 40 Rd, Chesterfield, MO 63017-5917 |
| Lisa L Tindall | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| Karen J Hollinger | Nurse Practitioner | Specialized Wound Management LLC | 2305 S 10th St, Omaha, NE 68108-1108 |
| Laura C Langmack | Nurse Practitioner | Specialized Wound Management LLC | 1415 W White Oak, The Groves, Independence, MO 64050-2590 |
| Sarah C Berra | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Melanie L Lapinski | Nurse Practitioner | Specialized Wound Management LLC | 13190 S Outer 40 Rd, Chesterfield, MO 63017-5917 |
| Julie Ruth Rehagen | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Mairin J Jett | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Amy C Bruggemann | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| Anjanette D Stendeback | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| Street Address |
14805 N OUTER 40 RD SUITE 320 |
| City | CHESTERFIELD |
| State | MO |
| Zip | 63017-6060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Piechocinski | Nurse Practitioner | Pathways Palliative Care, LLC | 14805 N Outer 40 Rd, Suite 160, Chesterfield, MO 63017-6060 |
| Sarah C Berra | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Mary J Mcbride | Nurse Practitioner | Pathways Palliative Care, LLC | 14805 N Outer 40 Rd, Suite 160, Chesterfield, MO 63017-6060 |
| Alyssa Keiner | Nurse Practitioner | Pathways Palliative Care, LLC | 14805 N Outer 40 Rd, Suite 160, Chesterfield, MO 63017-6060 |
| Julie Ruth Rehagen | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Mairin J Jett | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Cassie L Howard | Nurse Practitioner | Pathways Palliative Care, LLC | 14805 N Outer 40 Rd, Suite 160, Chesterfield, MO 63017-6060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett Edward Hammers | Physical Therapy | Prorehab PC | 14825 N Outer 40 Rd, Suite 300, Chesterfield, MO 63017-0002 |
| Hannah M Steele | Physical Therapy | Prorehab PC | 14825 N Outer 40 Rd, Suite 300, Chesterfield, MO 63017-0002 |
| Sumeet Aggarwal | Physical Therapy | Prorehab PC | 14825 N Outer 40 Rd, Suite 300, Chesterfield, MO 63017-0002 |
| Ryan Shane Bates | Chiropractic | 4 W Dr, Suite 100, Chesterfield, MO 63017-0003 | |
| Michael E Murphy | Chiropractic | 4 W Dr, Suite 100, Chesterfield, MO 63017-0003 | |
| Larry E Burrell | Chiropractic | 4 W Dr, Suite 100, Chesterfield, MO 63017-0003 | |
| Caroline A Morgan | Obstetrics/gynecology | West County Women's Healthcare, LLC | 222 S Woods Mill Rd, 360n, Chesterfield, MO 63017-0004 |
| Jessica Baldetti | Obstetrics/gynecology | West County Women's Healthcare, LLC | 222 S Woods Mill Rd, 360n, Chesterfield, MO 63017-0004 |
| Julie A Gould | Obstetrics/gynecology | West County Women's Healthcare, LLC | 222 S Woods Mill Rd, 360n, Chesterfield, MO 63017-0004 |
| Beth J Gearhart | Obstetrics/gynecology | 222 S Woods Mill Rd, 360n, Chesterfield, MO 63017-0004 | |
| Find all physicians in zip 63017 | |||
| City | CHESTERFIELD |
| Zip Code | 63017 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHESTERFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicole M Manlin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.