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

Individual provider Medical Physician Assistant · NPI 1275075848

Kimberley Mangus, PA-C is a Physician Assistant in Baltimore, Maryland. Qualified in 2016, 10 years ago. Practices with St Paul Place Specialists, Inc, a 339-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2016
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

345 Saint Paul St
Baltimore, MD 21202-2123
Phone: (410) 332-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0006283 (MD)

Record details

NPI number1275075848
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2016
Last updated in NPPESJanuary 2, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Paul Place Specialists, Inc. — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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