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

Individual provider Physician Assistant · NPI 1780787986

Mandi Glynn Amburn, PA-C is a Physician Assistant in Austin, Texas. Qualified in 2005, 21 years ago. Practices with St David's Ortho Neuro and Rehab PLLC, a 60-clinician group and accepts Medicare assignment. Licensed in Minnesota and Texas.

Years since qualifying
21
Licensed in
MN, TX
In the registry since
2006
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

2200 Park Bend Dr Bldg 1 Ste 301
Austin, TX 78758-5387
Phone: (512) 339-0440
Fax: (512) 339-0454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA04670 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 10227 (MN)

Record details

NPI number1780787986
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESJanuary 26, 2022
Certification dateDecember 2, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice St. David'S Ortho Neuro And Rehab Pllc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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