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

Mrs. Audrey Havens, PA-C

Individual provider Medical Physician Assistant · NPI 1053885624

Mrs. Audrey Havens, PA-C is a Physician Assistant in Elyria, Ohio. Graduated from Medical University of South Carolina College of Medicine in 2018, 8 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Trained at
Medical University of South Carolina College of Medicine
Licensed in
OH
In the registry since
2019
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

125 E Broad St
Elyria, OH 44035-6400
Phone: (440) 406-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Arch St Ste 301, Akron, OH 44304-1429 — (330) 253-1800

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.005775RX (OH)

Record details

NPI number1053885624
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elyria