KAMIAH WYNN MANN (APRN, FNP-C) – Nurse Practitioner, NPI 1477433506

KAMIAH WYNN MANN (APRN, FNP-C) is a healthcare provider. based in Tallahassee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. APRN11042589 (FL). The NPI Number for KAMIAH WYNN MANN (APRN, FNP-C) is 1477433506

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KAMIAH WYNN MANN (APRN, FNP-C)
NPI
1477433506
Phone
(448) 241-9009
Address
2650 MUNICIPAL WAY
Enumeration Date
8 September 2025
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8773846337
Graduation Year
2024 (2 years ago)
PAC ID
4183105158
Group Practice PAC ID
0547696452
Professional Enrollment ID
I20260226004517
Address ID
FL323043830TA2650XWAYX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KAMIAH WYNN MANN (APRN, FNP-C)

  • 2650 MUNICIPAL WAY

    TALLAHASSEE, FL 323043804

    Phone: (448) 241-9009

    Fax: (850) 388-6141

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260226004517INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547696452View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the registry number for KAMIAH WYNN MANN (APRN, FNP-C)?
The registry entry for KAMIAH WYNN MANN (APRN, FNP-C) shows NPI 1477433506.
Does the public listing show KAMIAH WYNN MANN (APRN, FNP-C) as active?
KAMIAH WYNN MANN (APRN, FNP-C)'s NPI record reflects an active status in NPPES.
What services align with KAMIAH WYNN MANN (APRN, FNP-C)'s listing?
KAMIAH WYNN MANN (APRN, FNP-C)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KAMIAH WYNN MANN (APRN, FNP-C)?
KAMIAH WYNN MANN (APRN, FNP-C) is associated with Tallahassee, Florida in the same public data insurers reference.
Who maintains KAMIAH WYNN MANN (APRN, FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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