NPPES file of Aug 9, 2026

McKenzie K. Mangun, PA-C

Physician Assistant · Roanoke, IL

McKenzie K. Mangun, PA-C is a physician assistant with a practice address in Roanoke, Illinois, and NPI 1851074090, issued on Aug 14, 2023. Check the license (Illinois 085011710, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1851074090
Name
McKenzie K. Mangun
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License number
085011710 IL
Self-reported in NPPES; status is on the state search
Practice location
401 N Main St, Roanoke, IL 61561
Phone
(309) 923-2661
Enumerated
Aug 14, 2023
Record last updated
Jan 15, 2026
Fax
(309) 923-7628
Medicare enrollment
Enrolled (PECOS I20260127001645); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 4,926 in Illinois → Look up another NPI →

Also registered at 401 N Main St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rachel Anderson, APPFamily Nurse Practitioner1033937743
  2. Jennifer BandyFamily Nurse Practitioner1639069958
  3. Katelynn Bracht, APRNFamily Nurse Practitioner1851274070
  4. Jaclyn CakoraFamily Nurse Practitioner1740154384
  5. Lyndsey ChaussePediatric Nurse Practitioner1205707106
  6. Megan CoxFamily Nurse Practitioner1538032503

Verify McKenzie K. Mangun in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 085011710    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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One hospital affiliation

  1. Saint James HospitalRoanoke, IL · Acute Care Hospitals4 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

McKenzie K. Mangun among 4,926 physician assistant records in Illinois

McKenzie K. Mangun, PA-C is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 78% of them.

  • NPI issued2023 · 78% of these records are older, 17% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2025 · median 2019 among the 3,407 with a school on file
  • Record last updated2026 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

3 physician assistant records list a practice address in Roanoke

They are 3 of the 32 NPPES records with a practice address in Roanoke, and 4,926 physician assistant records in Illinois.

All 4,926 in Illinois → Every provider in Roanoke → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Maddalena FairchildRoanoke, IL 615611790644383
  2. Victoria Gorfin, PA-CRoanoke, IL 615611831953843
  3. Chelsea Brush, PA-C MSPekin, IL 615541386958031
  4. Jessica Gheewala, PA-CPekin, IL 615541174315113
  5. Robert Jackson, PA-CPekin, IL 615541174736029
  6. Jamie Jelinek, PA-CPekin, IL 615541811241995
  7. Danielle Johnson, PAPekin, IL 615541528365467
  8. Zackary Ladson, PAPekin, IL 615541457992158

Common questions

What is McKenzie K. Mangun, PA-C's NPI number?

McKenzie K. Mangun, PA-C's National Provider Identifier (NPI) is 1851074090, issued on Aug 14, 2023. An NPI identifies a provider in billing; it is not a license.

Where is McKenzie K. Mangun, PA-C located?

The NPPES record lists a practice address at 401 N Main St, Roanoke, IL, 61561. Phone: (309) 923-2661. Providers update this record themselves, so call before visiting.

How can I verify McKenzie K. Mangun, PA-C's license?

NPPES lists Illinois license number 085011710, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.