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Mikaela Diana Mcmanus , PA-C

Physician Assistant β€’ Eglin Afb, FL

Active NPI 1407273170 Individual Practitioner Female Practitioner
Practice location in NPPES

4152 El Salvador Way
Eglin Afb, FL 32542

Call 5088559979 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4152 El Salvador Way

Eglin Afb, FL 32542

Telephone 5088559979
Fax 8508832429

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eglin Afb and Florida

21 active clinicians are listed under Physician Assistant with a practice address in Eglin Afb, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eglin Afb

0% of these 21 clinicians have the CMS telehealth indicator.

14.3% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Clinic/Center - Primary Care

NUCC Taxonomy Code: 261QP2300X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 16, 2025

Registered at 4152 EL SALVADOR WAY, EGLIN AFB, FL 32542 (Tel: 5088559979)

πŸ“
Updated Business Mailing Address January 16, 2025

Registered at EL SALVADOR WAY, EGLIN AFB, FL 32542 (Tel: 8508859979)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2025

Clinic/Center

βœ…
NPI Profile Active March 19, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 19, 2014

Registered at BUILDING 7318 C AVE G, FORT POLK, LA 71459 (Tel: 3376522988)

πŸ“
Business Mailing Address (Initial Record) March 19, 2014

Registered at 1511 BELVIEW RD, LEESVILLE, LA 714468661 (Tel: 5092204420)

πŸ‘€
Provider Name / Credentials (Initial Record) March 19, 2014

Recorded as MIKAELA MCMANUS, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2014

Physician Assistant

🟒
Initial NPI Registration & Enumeration March 19, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407273170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2014
Last Update: January 16, 2025
Sole Proprietor: Yes

Other Physician Assistants in Eglin Afb

Healthcare providers in Eglin Afb

Mailing Address

El Salvador Way

Eglin Afb, FL 32542

Phone: 8508859979

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.