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DR. MICHELLE YOSHIKO MANDEVILLE MD
NPI 1033797576
Pediatrics in Fpo, AE

Active since March 29, 2021PECOS Enrolled

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Apr 30, 2026, Jan 23, 2023 and 3 more (6 updates tracked since 2021).

About Dr. Michelle Yoshiko Mandeville Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE YOSHIKO MANDEVILLE MD (NPI 1033797576) is an individual pediatrics provider in Fpo, AE, licensed in Virginia (0101275838) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033797576
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHELLE YOSHIKO MANDEVILLECredential: MD
Location AddressPSC 819 BOX 18Fpo, AE 09645-0001
Mailing Address338 South DrSeverna Park, MD 21146-2112 · (443) 716-5114
Phone(314) 727-3305
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateMay 5, 20266 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1033797576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101275838
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Yoshiko Mandeville Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEAN GILNORD MATHURIN M.D.
Family Medicine
PSC 819 BOX 18
FPO, AE 09645
(314) 727-3524
DR. ALICE PATRICIO MOSS PHARM.D.
Pharmacist
PSC 819 BOX 18
FPO, AE 09645
(314) 727-3565
OLAITAN F OJO PHARMD
Pharmacist
PSC 819 BOX 18
FPO, AE 09645
JACOB TAYLOR DDS
Dentist
PSC 819 BOX 18
FPO, AE 09645
(814) 574-5223
MRS. SHANNON MARIE FREEMAN R.D.
Dietitian, Registered
PSC 819 BOX 18
FPO, AE 09645
(011) 727-3524
GILLIAN ALEXANDER HAZBOUN DDS, MS, FACP
Dentist (Prosthodontics)
PSC 819 BOX 18
FPO, AE 09645
(314) 727-3733
ALEJANDRA DIAZ PA-C
Physician Assistant
PSC 819 BOX 18
FPO, AE 09645
(703) 681-2369
DR. ALAN MICHAEL CANTRELL O.D.
Optometrist
PSC 819 BOX 18
FPO, AE 09645
(195) 682-3495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Mandeville's NPI number?

The NPI number for Michelle Mandeville is 1033797576. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Michelle Mandeville located?

Michelle Mandeville practices at Psc 819 Box 18, Fpo, AE 09645. The listed phone number is (314) 727-3305.

What is Michelle Mandeville's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michelle Mandeville enrolled in Medicare?

Yes. Michelle Mandeville is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Mandeville was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.