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

Manali Amin

Individual provider Registered Nurse · NPI 1699423574

Manali Amin is a Nurse Practitioner in Shawano, Wisconsin. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 526-8270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3221 Voyager Dr, Green Bay, WI 54311-8349 — (920) 256-0392

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11808 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 251900 (WI)

Record details

NPI number1699423574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2022
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022
Mailing address3 Neenah Ctr, Neenah, WI 54956-3070

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Shawano