Individual provider Active NPI

Rachel Marie Cuskelly, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1013654193
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02672 Issued in KS
Practice address
7550 W Village Cir Ste 1
Wichita, KS 67205-9364
Phone
(316) 838-2020
Fax
(316) 636-4076
NPI assigned
May 19, 2022
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 15-02672 KS Primary

Addresses

Primary practice location

7550 W Village Cir Ste 1
Wichita, KS 67205-9364

Mailing address

7550 W Village Cir Ste 1
Wichita, KS 67205-9364
Phone (316) 838-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20221010000836 KS Practitioner - Physician Assistant 2365828761 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Oct 4, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 4, 2022 Accepting new patients
Kansas Orthopaedic Center, P.a. CurrentSince Jan 9, 2024 Accepting new patients
Kansas Orthopaedic Center, P.a. CurrentSince Jan 9, 2024 Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

101 E Fulton St
Garden City, KS 67846
Phone (620) 271-0700

7550 W Village Cir
Ste 1
Wichita, KS 67205
Phone (316) 838-2020

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1013654193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059364",
            "telephone_number": "316-838-2020",
            "fax_number": "316-636-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059364",
            "telephone_number": "316-838-2020",
            "fax_number": "316-636-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSKELLY",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2024-06-10",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.