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Active NPI 1073019550 Individual Practitioner Male Practitioner

Justin Mandeville , PA-C

Physician Assistant • Yelm, WA

Professional Overview & Biography Verified Profile Summary

Justin Mandeville, PA-C is a registered healthcare professional specializing in Physician Assistant in Yelm, WA. Practice services are available at 9391 PRARRIE WIND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9391 Prarrie Wind St

Yelm, WA 98597

Telephone 5176678729

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Yelm, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Yelm, WA (3774 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 25, 2023

Registered at 9391 PRARRIE WIND ST, YELM, WA 98597 (Tel: 5176678729)

📍
Updated Business Mailing Address July 25, 2023

Registered at BLDG 11582 C STREET, OKUBO CLINIC, JBLM, WA 98433

👤
Provider Name / Credentials Updated July 25, 2023

Recorded as JUSTIN MANDEVILLE, PA-C

NPI Profile Active April 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2018

Registered at 210 E NEEDMORE HWY, GRAND LEDGE, MI 488379438 (Tel: 5176678729)

📍
Updated Business Mailing Address April 05, 2018

Registered at LANDSTUHL REGIONAL MEDCEN, ATTN: MCEU-LST-QM-CR UNIT 33100, APO, AE 09180

👤
Provider Name / Credentials Updated April 05, 2018

Recorded as JUSTIN MANDEVILLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073019550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2018
Last Update: July 25, 2023
Sole Proprietor: No

Mailing Address

Bldg 11582 C Street, Okubo Clinic

Jblm, WA 98433

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.