JUSTINE MARIE MANGLA PA-C
NPI 1285129213
Physician Assistant in Ypsilanti, MI

Active since June 22, 2018PECOS EnrolledAccepts Medicare Assignment
5301 MCAULEY DR, YPSILANTI, MI 48197(734) 712-3456 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Jun 7, 2023, Jul 19, 2019 and 3 more (6 updates tracked since 2018).

About Justine Marie Mangla Pa-c NPPES

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

JUSTINE MARIE MANGLA PA-C (NPI 1285129213) is an individual physician assistant in Ypsilanti, Michigan, licensed in Wisconsin (4495) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1285129213
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJUSTINE MARIE MANGLACredential: PA-C
Location Address5301 MCAULEY DRYpsilanti, MI 48197-1051
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-8700 · Fax (414) 259-1522
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 22, 2018
Last NPPES UpdateJune 1, 20266 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1285129213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 4495
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5301 MCAULEY DR, Ypsilanti, MI 48197

Secondary Practice Location 1

Location 15505 S Old US 23 # 100Brighton, MI 48116-7524 · Phone (810) 494-6885 · Fax (810) 494-6839

Other Identifiers 1

Medicaid1285129213WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justine Marie Mangla Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315299088
PECOS Enrollment IDI20191026000027
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$78.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
5301 MCAULEY DR
YPSILANTI, MI 48197
Nurse Practitioner (Psychiatric/Mental Health)
5301 MCAULEY DR
YPSILANTI, MI 48197
Pediatrics (Neonatal-Perinatal Medicine)
5301 MCAULEY DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 MCAULEY DR
YPSILANTI, MI 48197
Student in an Organized Health Care Education/Training Program
5301 MCAULEY DR
YPSILANTI, MI 48197
Physician Assistant
5301 MCAULEY DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 MCAULEY DR
YPSILANTI, MI 48197
Emergency Medicine
5301 MCAULEY DR
YPSILANTI, MI 48197

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 Justine Mangla's NPI number?

The NPI number for Justine Mangla is 1285129213. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Justine Mangla located?

Justine Mangla practices at 5301 Mcauley Dr, Ypsilanti, MI 48197. The listed phone number is (734) 712-3456.

What is Justine Mangla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Justine Mangla enrolled in Medicare?

Yes. Justine Mangla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justine Mangla accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Justine Mangla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justine Mangla affiliated with any hospitals?

According to CMS data, Justine Mangla is affiliated with Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Justine Mangla was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.