Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nicholas Manke, PA-C

Individual provider Medical Physician Assistant · NPI 1164837126

Mr. Nicholas Manke, PA-C is a Physician Assistant in Richland, Washington. Qualified in 2014, 12 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in New Mexico and Washington.

Years since qualifying
12
Licensed in
NM, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1100 Goethals Dr
Richland, WA 99352-3300
Phone: (509) 946-4611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4411 The 25 Way Ne Ste 150, Albuquerque, NM 87109-5888 — (505) 332-5800
  • 4411 The 25 Way Ne Ste 150, Albuquerque, NM 87109-5888 — (505) 332-5800
  • 1100 Goethals Dr, Richland, WA 99352-3300 — (509) 946-4611

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60820907 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2014-0037 (NM)

Record details

NPI number1164837126
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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