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

Individual provider Medical Physician Assistant · NPI 1619216272

Nicole Lisette Mancinelli, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2012, 14 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2013
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

2424 E 21st St Ste 320
Tulsa, OK 74114
Phone: (918) 392-4547
Fax: (918) 392-4555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2195 (OK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2195 (OK)

Record details

NPI number1619216272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2013
Last updated in NPPESSeptember 14, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tulsa