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

Nicole Mandacina

Individual provider Nurse Practitioner · NPI 1629621941

Nicole Mandacina is a Nurse Practitioner in Independence, Missouri. Qualified in 2019, 7 years ago. Practices with Curana Health of Missouri-Kansas LLC, a 149-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
7
Licensed in
KS, MO
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

19550 E 39th St S Ste 215
Independence, MO 64057-2326
Phone: (816) 461-6837
Fax: (816) 833-1760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4401 Wornall Rd, Kansas City, MO 64111-3220 — (816) 932-2000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2019027103 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 53-80676 (KS)

Record details

NPI number1629621941
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2019
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address9015 N Myrtle Ave, Kansas City, MO 64156-1216

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Curana Health Of Missouri-Kansas Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Independence