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

Oksana Kovalyova Manning

Individual provider Nurse Practitioner · NPI 1124859129

Oksana Kovalyova Manning is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2023, 3 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone: (336) 441-5569
Fax: (336) 771-1907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5020595 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence F01241462 (NC)

Record details

NPI number1124859129
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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