Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abigail Mae Mahoney, PA-C

Individual provider Physician Assistant · NPI 1164177572

Abigail Mae Mahoney, PA-C is a Physician Assistant in Saint Joseph, Michigan. Qualified in 2021, 5 years ago. Practices with Lakeland Medical Practices, a 287-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
5
Licensed in
MI, OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4077 S Cleveland Ave
Saint Joseph, MI 49085-9513
Phone: (269) 429-2992
Fax: (269) 429-3372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012437 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 50.007476RX (OH)

Record details

NPI number1164177572
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 14, 2022
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Joseph