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

Nicole Kanomata, FNP

Individual provider Family Nurse Practitioner · NPI 1366165102

Nicole Kanomata, FNP is a Nurse Practitioner in Manistee, Michigan. Qualified in 2022, 4 years ago. Practices with Munson Healthcare Cadillac, a 103-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone: (231) 876-6421
Fax: (231) 876-6430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 400 Hobart St, Cadillac, MI 49601-2331 — (231) 876-6421
  • 217 S Madison St, Traverse City, MI 49684-2321 — (231) 392-8400

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F10220404 (MI)

Record details

NPI number1366165102
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Munson Healthcare Cadillac — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Manistee