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

Mandy Michelle Ilnyckyj, APRN

Individual provider Family Nurse Practitioner · NPI 1720566482

Mandy Michelle Ilnyckyj, APRN is a Nurse Practitioner in Crestview, Florida. Graduated from University of South Alabama College of Medicine in 2017, 9 years ago. Practices with Dynamic Pain and Wellness LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Alabama and Florida.

Years since qualifying
9
Trained at
University of South Alabama College of Medicine
Licensed in
AL, FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

302 E James Lee Blvd
Crestview, FL 32539-2827
Phone: (850) 682-1002
Fax: (850) 689-4412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9328758 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1-158696 (AL)

Record details

NPI number1720566482
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 3, 2018
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Dynamic Pain And Wellness Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Crestview