KRISTIN L MANNKE – Family Nurse Practitioner, NPI 1376971838
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for KRISTIN L MANNKE
349 BROADWAY
SOMERVILLE, MA 021452407
Phone: (617) 702-8280
Fax: (617) 245-6755
Type: Location
526 MAIN ST STE 302
ACTON, MA 017203301
Phone: (978) 371-7010
Fax: (978) 371-0522
Type: Mailing
92 MONTVALE AVE STE 3000
STONEHAM, MA 021803658
Phone: (781) 438-6350
Fax: (781) 279-0430
Type: Location
LAHEY HOSPITAL AND MEDICAL CENTER
67 S. BEDFORD STREET- DERMATOLOGY DEPARTMENT
BURLINGTON, MA 018035108
Phone: (781) 744-5115
Fax: (781) 744-5687
Type: Mailing
349 Broadway
Somerville, MA 021452407
Phone: (617) 702-8280
Fax: (617) 245-6755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $246.
Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($86).
Total Amount
$246
General + Research + Ownership
Payments
10
Total payment records
General Amount
$246
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $86 |
| Amgen Inc. | $49 |
| Lilly USA, LLC | $35 |
| E.R. Squibb & Sons, L.L.C. | $26 |
| Dermavant Sciences, Inc. | $26 |
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: 2014-11-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141126001372 | I | Nurse Practitioner | MA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 416 | 255 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 343 | 81 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 177 | 147 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 167 | 131 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 159 | 137 | $0 |
Insurance plans in this area (ZIP 02145)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | NY | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | RI |
Reviews
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