Nathan Mandrell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007583RX Issued in OH

Practice address

110 S College Ave Ste 205
Oxford, OH 45056-2098

Phone

(513) 995-4772

Fax

(513) 995-4776

NPI assigned

Nov 29, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mandrell Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxford, OH
  • NPI 1962239137
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1932866795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S COLLEGE AVE STE 205",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562098",
            "telephone_number": "513-995-4772",
            "fax_number": "513-995-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S COLLEGE AVE STE 205",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562098",
            "telephone_number": "513-995-4772",
            "fax_number": "513-995-4776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452271491",
            "country_code": "US",
            "telephone_number": "513-272-2800 x1234",
            "fax_number": "513-272-2807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDRELL",
        "first_name": "NATHAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007583RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Nicole Lohrey, RDN
• David Albert Loy, PH.D.
• Ricardo Andaya Maddela III, D.O.
• Mandrell Family Services
• Heather Mandrell, MD
• Maple Knoll Communities Inc (The Knolls of Oxford)
• Maple Knoll Communities Inc
• Matthew Lee Marcum, R.N.
• Stephanie Martin, CNP
• Salam Mawas, PA-C

• Physician Assistant in Oxford, OH
• Providers in Oxford, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.