LAURIE A MANCINI (CNP) – Adult Health Nurse Practitioner, NPI 1609199686

LAURIE A MANCINI (CNP) is a healthcare provider. based in Dearborn, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 4704216344 (MI). The NPI Number for LAURIE A MANCINI (CNP) is 1609199686

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE A MANCINI (CNP)
NPI
1609199686
Phone
(313) 982-8100
Address
19401 Hubbard Dr
Enumeration Date
5 March 2010
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139828100
Graduation Year
2008 (18 years ago)
PAC ID
7618092735
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20100914000089
Address ID
MI481262641DE19401DRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for LAURIE A MANCINI (CNP)

  • 19401 Hubbard Dr

    Dearborn, MI 481262641

    Phone: (313) 982-8100

    Fax: (313) 982-8072

    Type: Location

  • Stephenson Highway, Troy, Oakland County, Michigan, 48083, United States

    SUITE 400-CREDENTIALING

    TROY, MI 480831189

    Phone: (248) 581-5977

    Fax: (248) 581-5640

    Type: Mailing

  • Wertz Clinical Cancer Center, 4100, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    KARMANOS CANCER CTR MIDLEVELS

    DETROIT, MI 482012013

    Phone: (800) 527-6266

    Fax: (313) 576-8381

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Lilly USA, LLC ($202).

Total Amount

$202

General + Research + Ownership

Payments

2

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$202
View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-14

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
I20100914000089INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10852$0
38222Biopsy and aspiration of bone marrow sample for diagnosis2121$0
View full utilization report →

Insurance plans in this area (ZIP 48126)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for LAURIE A MANCINI (CNP)?
LAURIE A MANCINI (CNP) — NPI 1609199686 — is the standard way to identify this listing.
Can I rely on LAURIE A MANCINI (CNP) being an active provider?
As of the registry snapshot, LAURIE A MANCINI (CNP) is marked active.
What is LAURIE A MANCINI (CNP)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for LAURIE A MANCINI (CNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for LAURIE A MANCINI (CNP)?
LAURIE A MANCINI (CNP)'s geographic hint is Dearborn, Michigan in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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