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

Cynthia J Mantey, APNP

Individual provider Family Nurse Practitioner · NPI 1073381562

Cynthia J Mantey, APNP is a Nurse Practitioner in Wasilla, Alaska. Qualified in 2021, 5 years ago. Practices with Southcentral Foundation, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and Wisconsin.

Years since qualifying
5
Licensed in
AK, WI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2793 Lineville Rd, Green Bay, WI 54313-7152 — (920) 496-4700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 229901 (AK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 14835-33 (WI)

Record details

NPI number1073381562
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedDecember 14, 2023
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southcentral Foundation — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wasilla