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

Individual provider Physician Assistant · NPI 1154086999

Nicki Mandaliya, PA-C is a Physician Assistant in Eau Claire, Wisconsin. Qualified in 2022, 4 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2021
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

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone: (715) 838-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 361 Saint Andrews Ln, Gurnee, IL 60031-4489 — (847) 445-6758

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7102 (WI)

Record details

NPI number1154086999
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2021
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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