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

Lisa Nicole Manning, PA

Individual provider Physician Assistant · NPI 1164904579

Lisa Nicole Manning, PA is a Physician Assistant in Brookline, Massachusetts. Qualified in 2018, 8 years ago. Practices with Mass General Brigham Urgent Care LLC, a 106-clinician group and works from 2 locations. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1285 Beacon St
Brookline, MA 02446-5237
Phone: (617) 751-6205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5088

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6689 (MA)

Record details

NPI number1164904579
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2018
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mass General Brigham Urgent Care Llc — 106 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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