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KATRINA DAISY MANSOUR
NPI 1396609715
Physician Assistant in Flint, MI

Active since December 10, 2025PECOS Enrolled
4444 W BRISTOL RD STE 150, FLINT, MI 48507(833) 322-3376(248) 607-6777 Get Directions Write a Review

NPPES record last updated: April 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2026, Dec 10, 2025 (2 updates tracked since 2025).

About Katrina Daisy Mansour NPPES

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

KATRINA DAISY MANSOUR (NPI 1396609715) is an individual physician assistant in Flint, Michigan and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396609715
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATRINA DAISY MANSOUR
Location Address4444 W BRISTOL RD STE 150Flint, MI 48507-3161
Mailing Address4444 W Bristol Rd Ste 150Flint, MI 48507-3161 · (833) 322-3376
Phone(833) 322-3376
Fax(248) 607-6777
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 10, 2025
Last NPPES UpdateApril 5, 20262 updates tracked since enumeration
NPPES CertifiedApril 5, 2026
✔ NPI 1396609715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4444 W BRISTOL RD STE 150, Flint, MI 48507
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina Daisy Mansour is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698243558
PECOS Enrollment IDI20260508001532
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48507 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 12

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

RUSSELL DIPONIO MD
Internal Medicine
4444 W BRISTOL RD STE 150
FLINT, MI 48507
Genesee County (810) 230-9500
ENEA GJOKA
Dermatology
4444 W BRISTOL RD STE 150
FLINT, MI 48507
Genesee County (833) 322-3376
MRS. AMY GENE ZIMMERMAN FNP-BC
Nurse Practitioner (Family)
4444 W BRISTOL RD STE 150
FLINT, MI 48507
Genesee County (810) 230-9500
GEORGE FELOPATIER TAWFELLOS
Dermatology
4444 W BRISTOL RD STE 150
FLINT, MI 48507
Genesee County (833) 322-3376
DR. REBECCA CAROLYN OLSEN DO
Dermatology
4444 W BRISTOL RD STE 150
FLINT, MI 48507
Genesee County (833) 322-3376
MS. KIMBERLY ELIZABETH-TORIONNA LORICK FNP-BC
Nurse Practitioner (Family)
4444 W BRISTOL RD STE 150
FLINT, MI 48507
Genesee County (810) 230-9500
PURVAJ MAHENDRA PATEL MD
Internal Medicine
4444 W BRISTOL RD STE 150
FLINT, MI 48507
Genesee County (810) 230-9500
HALIMEH FARHAT PA-C
Physician Assistant
4444 W BRISTOL RD STE 150
FLINT, MI 48507
Genesee County (833) 322-3376

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 Katrina Mansour's NPI number?

The NPI number for Katrina Mansour is 1396609715. It was assigned to this individual provider in the NPPES registry on December 10, 2025.

Where is Katrina Mansour located?

Katrina Mansour practices at 4444 W Bristol Rd Ste 150, Flint, MI 48507. The listed phone number is (833) 322-3376.

What is Katrina Mansour's specialty?

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

Is Katrina Mansour enrolled in Medicare?

Yes. Katrina Mansour is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katrina Mansour was last updated on April 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.