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

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