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

Dr. Mark Alan Manning, DNP

Individual provider Nurse Practitioner · NPI 1699171215

Dr. Mark Alan Manning, DNP is a Nurse Practitioner in West Lafayette, Indiana. Qualified in 2014, 12 years ago. Practices with Randall Dermatology, PC, a 10-clinician group and accepts Medicare assignment. Licensed in Indiana and Washington.

Years since qualifying
12
Licensed in
IN, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

124 Sagamore Pkwy W
West Lafayette, IN 47906
Phone: (765) 463-6722
Fax: (765) 463-0905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71006259A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60520310 (WA)

Record details

NPI number1699171215
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorNo
NPI enumeratedNovember 10, 2014
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address124 Sagamore Pkwy West, West Lafayette, IN 47906

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Randall Dermatology, Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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