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

Mr. Patrick Kyle Vidrine, PA

Individual provider Physician Assistant · NPI 1760764716

Mr. Patrick Kyle Vidrine, PA is a Physician Assistant in Mansfield, Ohio. Qualified in 2011, 15 years ago. Practices with Samaritan Regional Health System, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2011
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

335 Glessner Ave Attn: Hmg Ofc
Mansfield, OH 44903-2269
Phone: (419) 520-2379
Fax: (419) 520-2824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 Center Street, Ashland, OH 44805-2269 — (419) 289-0491

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.003375 (OH)

Record details

NPI number1760764716
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 15, 2011
Last updated in NPPESAugust 1, 2019
Mailing address335 Glessner Ave, Attn: Hmg Office, Mansfield, OH 44903-2269

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Samaritan Regional Health System — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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