EMMA KRISTINE MANDOUH NP
NPI 1285592162
Nurse Practitioner in Warren, MI
About Emma Kristine Mandouh Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMMA KRISTINE MANDOUH NP (NPI 1285592162) is an individual nurse practitioner in Warren, Michigan, licensed in Michigan (4704362447) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2026).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emma Kristine Mandouh Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Emma Mandouh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Flint, MI 48507
- Reassigned Medicare billing, Michigan enrollment
- 246 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48091 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WARREN, MI 48091
WARREN, MI 48091
WARREN, MI 48091
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 Emma Mandouh's NPI number?
The NPI number for Emma Mandouh is 1285592162. It was assigned to this individual provider in the NPPES registry on January 12, 2026. The provider is also known as Emma Kristine Taylor Np.
Where is Emma Mandouh located?
Emma Mandouh practices at 21230 Dequindre Rd, Warren, MI 48091. The listed phone number is (586) 427-1000.
What is Emma Mandouh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Emma Mandouh enrolled in Medicare?
Yes. Emma Mandouh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Emma Mandouh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emma Mandouh reassigns Medicare benefits to Jawad A Shah, MD PC (Flint, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emma Mandouh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emma Mandouh accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Emma Mandouh 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.
When was this NPI record last updated?
The NPPES record for Emma Mandouh was last updated on July 21, 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.
# Emma Kristine Mandouh, NP · NPI 1285592162
Nurse Practitioner physician in Warren, Michigan. Individual provider, active in the CMS NPPES registry since January 12, 2026.
## Identity
- **NPI:** 1285592162 (Entity type: Individual)
- **Enumerated:** January 12, 2026
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704362447 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 21230 DEQUINDRE RD, Warren, MI 48091-2279
- **Phone:** (586) 427-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jawad A Shah, MD PC (NPI 1942402391, Flint, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2026
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285592162) · Data from the CMS NPPES public registry.