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

Individual provider Physician Assistant · NPI 1285129213

Justine Marie Mangla, PA-C is a Physician Assistant in Ypsilanti, Michigan. Qualified in 2018, 8 years ago. Practices with St Joseph Mercy Hospital, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
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

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5505 S Old Us 23 # 100, Brighton, MI 48116-7524 — (810) 494-6885

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4495 (WI)

Record details

NPI number1285129213
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2018
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Joseph Mercy Hospital — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ypsilanti