Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Jacklyn Manzella

Individual provider Family Nurse Practitioner · NPI 1083461248

Alexis Jacklyn Manzella is a Nurse Practitioner in Brockton, Massachusetts. Qualified in 2024, 2 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

25 Libby St
Brockton, MA 02302-2949
Phone: (508) 941-7700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 28 Concord St Apt 3, Boston, MA 02129-2571 — (914) 715-1672
  • 110 Liberty St, Brockton, MA 02301-5674 — (508) 894-0400

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence RN2377937 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2377937 (MA)

Record details

NPI number1083461248
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Brockton