Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendra Nicole Mancini, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1538655113

Kendra Nicole Mancini, AGACNP-BC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2017, 9 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2689
Phone: (313) 916-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704276096 (MI)

Record details

NPI number1538655113
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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