Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jill S Vidrine, PA-C

Individual provider Physician Assistant · NPI 1114200565

Mrs. Jill S Vidrine, PA-C is a Physician Assistant in Mansfield, Ohio. Qualified in 2011, 15 years ago. Practices with Advanced Spine Joint and Wellness Center, a 4-clinician group 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-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

536 S Trimble Rd
Mansfield, OH 44906-3418
Phone: (419) 756-8899
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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 50.003323 (OH)

Record details

NPI number1114200565
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2011
Last updated in NPPESSeptember 22, 2011

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 Advanced Spine Joint And Wellness Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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