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Justin Mandeville, PA-C
NPI 1073019550 · Physician Assistant · Yelm, WA
Justin Mandeville, PA-C is a Physician Assistant provider in Yelm, WA (NPI 1073019550).
Provider details
- NPI number
- 1073019550
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9391 Prarrie Wind St
Yelm, WA 98597
Phone: (517) 667-8729
Street-level locationGet directions
Mailing address
Bldg 11582 C Street
Jblm, WA 98433
Registry dates
- Enumerated
- 2018-04-03
- Last updated
- 2023-07-25
- Certified
- 2023-07-24
Frequently asked questions
- What is Justin Mandeville's NPI number?
- Justin Mandeville's National Provider Identifier (NPI) is 1073019550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Mandeville's specialty?
- Justin Mandeville is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Mandeville located?
- Justin Mandeville's practice location on file with NPPES is 9391 Prarrie Wind St, Yelm, WA 98597.
- What is Justin Mandeville's phone number?
- The practice phone number listed in the NPPES registry for Justin Mandeville is (517) 667-8729.
- Is Justin Mandeville's NPI active?
- Yes — Justin Mandeville's NPI (1073019550) is active in the NPPES registry as of the last update on 2023-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.