Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madeline Mignone

Individual provider Physician Assistant · NPI 1487445755

Madeline Mignone is a Physician Assistant in Mayfield Heights, Ohio. Qualified in 2025, 1 year ago. Practices with Koinonia Primary Care Inc, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone: (440) 312-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1487445755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2025
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address9500 Euclid Ave, Cleveland, OH 44195-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Koinonia Primary Care Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mayfield Heights