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

Marissa Nicole Manker

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1972348480

Marissa Nicole Manker is a Nurse Practitioner in Overland Park, Kansas. Qualified in 2024, 2 years ago. Practices with Ipc PAC Healthcare Services of Missouri Inc, a 16-clinician group. Licensed in Kansas and Missouri.

Years since qualifying
2
Licensed in
KS, MO
In the registry since
2024
Specialties on file
3

Practice location Address checks out

10300 Indian Creek Pkwy
Overland Park, KS 66210-2484
Phone: (417) 872-2745
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2024028757 (MO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 83496 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972348480
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2024
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ipc Pac Healthcare Services Of Missouri Inc — 16 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

Other providers in Overland Park