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

Kim-Ly Mobley

Individual provider Family Nurse Practitioner · NPI 1780164368

Kim-Ly Mobley is a Nurse Practitioner in Manchester, New Hampshire. Qualified in 2018, 8 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
8
Licensed in
NH
In the registry since
2018
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Practice location Address checks out

100 McGregor St
Manchester, NH 03102-3730
Phone: (603) 663-5310
Fax: (603) 663-8015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 059669-23 (NH)

Record details

NPI number1780164368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Manchester