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MRS. ALICIA MAY MANCINI PA-C
NPI 1356650006
Physician Assistant - Surgical in Grand Rapids, MI

Active since September 29, 2010
4100 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546(616) 267-7100(616) 267-7102 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 19, 2016, Sep 23, 2016 (2 updates tracked since 2016).

About Mrs. Alicia May Mancini Pa-c NPPES

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

MRS. ALICIA MAY MANCINI PA-C (NPI 1356650006) is an individual surgical provider in Grand Rapids, Michigan, licensed in Michigan (5601007930) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1356650006
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. ALICIA MAY MANCINICredential: PA-C
Location Address4100 LAKE DR SE, SUITE 205Grand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne, Mc-845Grand Rapids, MI 49503-2560 · (616) 267-7100 · Fax (616) 267-7102
Phone(616) 267-7100
Fax(616) 267-7102
Sole ProprietorNo
Enumeration DateSeptember 29, 2010
Last NPPES UpdateDecember 19, 20162 updates tracked since enumeration
✔ NPI 1356650006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in MI · 5601007930✔ Licensed in CT · 002477
4100 LAKE DR SE, Grand Rapids, MI 49546
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Other Names 1

Former Name (1)Miss Alicia May Wills Pa-c

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.

TELLA KATARINA MINKKINEN PT
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
RANDALL SCOTT MEISNER MD
Internal Medicine (Gastroenterology)
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7414
DR. MARYKAY LEHMAN M.D.
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 949-8244
GUSTAVO CUMBO-NACHELI
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
JANET DOMINOWSKI RD
Dietitian, Registered
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8950
WALTER M BRAUNOHLER M.D.
Orthopaedic Surgery
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8860
JILL C THORPE PA-C
Physician Assistant
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 774-2414
PATRICIA BEGGS AT, ATC
Specialist/Technologist (Athletic Trainer)
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8565

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 Alicia Mancini's NPI number?

The NPI number for Alicia Mancini is 1356650006. It was assigned to this individual provider in the NPPES registry on September 29, 2010. The provider is also known as Miss Alicia May Wills Pa-C.

Where is Alicia Mancini located?

Alicia Mancini practices at 4100 Lake Dr SE Suite 205, Grand Rapids, MI 49546. The listed phone number is (616) 267-7100.

What is Alicia Mancini's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Alicia Mancini was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.