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

Maegen Mandeville, PA

Individual provider Physician Assistant · NPI 1679921787

Maegen Mandeville, PA is a Physician Assistant in Royal Oak, Michigan. Qualified in 2016, 10 years ago. Practices with Springfield Urgent Care PLLC, a 27-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5130 Coolidge Hwy
Royal Oak, MI 48073-1001
Phone: (248) 288-9500
Fax: (248) 288-0044
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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 number1679921787
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESMay 31, 2016
Mailing address5130 Coolidge Hwy, Royal Oak, MI 48073-1001

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 Springfield Urgent Care Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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