Individual provider Active NPI

Mandilee Morange, PA-C

  • Physician Assistant
  • Wesley Chapel, FL
National Provider Identifier
1811895709
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9122698 Issued in FL
Practice address
5504 Gateway Blvd
Wesley Chapel, FL 33544-1900
Phone
(813) 925-1903
NPI assigned
Oct 29, 2026
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9122698 FL Primary

Addresses

Primary practice location

5504 Gateway Blvd
Wesley Chapel, FL 33544-1900

Mailing address

6201 Watermark Dr Apt 105
Riverview, FL 33578-3948
Phone (941) 928-3583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1811895709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 WATERMARK DR APT 105",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783948",
            "telephone_number": "941-928-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 GATEWAY BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335441900",
            "telephone_number": "813-925-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORANGE",
        "first_name": "MANDILEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9122698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.