1. Home
  2. Directory
  3. Kansas
  4. Marysville
  5. Physician Assistant
  6. NPI Profile

MANDI DIEDERICH PA-C
NPI 1487463089
Physician Assistant in Marysville, KS

Active since January 07, 2025
107 S 8TH ST, MARYSVILLE, KS 66508(785) 619-6078 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2026, Jan 7, 2025 (2 updates tracked since 2025).

About Mandi Diederich Pa-c NPPES

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

MANDI DIEDERICH PA-C (NPI 1487463089) is an individual physician assistant in Marysville, Kansas and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1487463089
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMANDI DIEDERICHCredential: PA-C
Location Address107 S 8TH STMarysville, KS 66508-1831
Mailing Address404 S Hanover StHanover, KS 66945-8862
Phone(785) 619-6078
Sole ProprietorNo
Enumeration DateJanuary 7, 2025
Last NPPES UpdateMay 31, 20262 updates tracked since enumeration
NPPES CertifiedMay 31, 2026
✔ NPI 1487463089 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.
107 S 8TH ST, Marysville, KS 66508
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

SUNFLOWER MEDICAL CLINIC LLC
Nurse Practitioner (Family)
107 S 8TH ST
MARYSVILLE, KS 66508
Marshall County (785) 713-2395
COMMUNITY HEALTHCARE SYSTEM, INC
Family Medicine
107 S 8TH ST
MARYSVILLE, KS 66508
Marshall County (785) 889-4241
MRS. CRYSTAL DAWN LEIS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
107 S 8TH ST
MARYSVILLE, KS 66508
Marshall County (785) 619-6078

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 Mandi Diederich's NPI number?

The NPI number for Mandi Diederich is 1487463089. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Mandi Diederich located?

Mandi Diederich practices at 107 S 8th St, Marysville, KS 66508. The listed phone number is (785) 619-6078.

What is Mandi Diederich's specialty?

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

When was this NPI record last updated?

The NPPES record for Mandi Diederich was last updated on May 31, 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.