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

Kristin L Mannke

Individual provider Family Nurse Practitioner · NPI 1376971838

Kristin L Mannke is a Nurse Practitioner in Somerville, Massachusetts. Graduated from Oregon Health Sciences University School of Medicine in 2013, 13 years ago. Practices with Mystic Valley Dermatology Associates PC, an 11-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
MA
In the registry since
2013
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Practice location Address checks out

349 Broadway
Somerville, MA 02145-2407
Phone: (617) 702-8280
Fax: (617) 245-6755
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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 RN262875 (MA)

Record details

NPI number1376971838
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2013
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address526 Main St Ste 302, Acton, MA 01720-3301

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Mystic Valley Dermatology Associates Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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