McKenzie K Mangun, PA-C
McKenzie K Mangun, PA-C is a Physician Assistant in Roanoke, Illinois. Qualified in 2025, 1 year ago. Practices with Saint James Hospital, a 74-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 1
- Licensed in
- IL
- In the registry since
- 2023
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
401 N Main StRoanoke, IL 61561-7585
Phone: (309) 923-2661
Fax: (309) 923-7628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085011710 (IL) |
|---|
Record details
| NPI number | 1851074090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 14, 2023 |
| Last updated in NPPES | January 15, 2026 |
| Certification date | January 15, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Saint James Hospital — 74 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Roanoke
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Maddalena Fairchild
401 N Main St, Roanoke, IL 61561-7585 · (309) 923-2661
-
MS. Victoria Gorfin, PA-C
401 N Main St, Roanoke, IL 61561-7585 · (309) 923-2661