NPI age
19 years
Enumerated 2006-09-06
● Active
Type 1 · Individual
Mandi Glynn Amburn, PA-C
Amburn is 1 of 83 physician assistant providers in Austin and 1 of 1890 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX, MN
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1890 active physician assistant providers in Texas.
NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
2200 Park Bend Dr, Building 1 Suite 301
Austin, TX 787585387
Mailing address
2200 Park Bend Dr Bldg 1, Suite 301
Austin, TX 787585387
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MN) | P00408065 | RAILROAD MEDICARE |
| 01 (TX) | 8N9216 | BLUE CROSS |
| 05 (MN) | 517690000 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Austin in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.