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

Mrs. Kirsten Manganiello, CFNP

Individual provider Family Nurse Practitioner · NPI 1104259050

Mrs. Kirsten Manganiello, CFNP is a Nurse Practitioner in Syracuse, New York. Qualified in 2013, 13 years ago. Practices with Northway Medical Associates, PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2342
Phone: (315) 464-7281
Fax: (315) 464-7298
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F338024-1 (NY)

Record details

NPI number1104259050
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedAugust 14, 2013
Last updated in NPPESAugust 14, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northway Medical Associates, Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Syracuse