Individual provider Active NPI

Paula J Brown, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1023027133
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
00523 Issued in KS
Practice address
14700 W Saint Teresa St Ste 300
Wichita, KS 67235-9630
Phone
(316) 274-0142
NPI assigned
Aug 7, 2006
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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 00523 KS Primary

Addresses

Primary practice location

14700 W Saint Teresa St Ste 300
Wichita, KS 67235-9630

Mailing address

PO Box 8035
Wichita, KS 67208-0035
Phone (316) 689-9135

Other identifiers 1

IdentifierTypeStateIssuer
100343080AMedicaidKS

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
I20061201000510 KS Practitioner - Physician Assistant 4486650876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14700 W Saint Teresa St
300 Via Christi Clinic PA
Wichita, KS 67235-9630
Phone (316) 274-0142

1640 E Tall Tree Rd
Via Christi Clinic PA
Derby, KS 67037-2000
Phone (316) 789-8222

1947 N Founders Cir
Via Christi Clinic PA
Wichita, KS 67206-3548
Phone (316) 613-4640

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 689-9349

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00523KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Jul 29, 1999 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Jul 29, 1999 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Past Accepting new patients

Locations

1100 N Saint Francis Ave
Ste 400
Wichita, KS 67214

14700 W Saint Teresa St
Ste 300
Wichita, KS 67235
Phone (316) 274-0142

14700 W Saint Teresa St
Ste 370
Wichita, KS 67235
Phone (316) 274-3800

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1023027133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672080035",
            "telephone_number": "316-689-9135",
            "fax_number": "316-689-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 W SAINT TERESA ST STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359630",
            "telephone_number": "316-274-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAULA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "00523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100343080A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.