Individual provider Active NPI

Simone P Culver, PA-C

  • Surgical Physician Assistant
  • Wichita, KS
National Provider Identifier
1124027941
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
15-00664 Issued in KS
Practice address
1947 N Founders Cir
Wichita, KS 67206-3548
Phone
(316) 613-4440
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 15-00664 KS Primary

Addresses

Primary practice location

1947 N Founders Cir
Wichita, KS 67206-3548

Mailing address

PO Box 8035
Wichita, KS 67208-0035

Other identifiers 1

IdentifierTypeStateIssuer
100345540CMedicaidKS

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
I20050421001182 KS Practitioner - Physician Assistant 5890733695 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group Via Christi PAGroup PAC ID 2961314497, 184 clinicians
Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians

Practice addresses (Care Compare)

1900 N Amidon Ave
100 Via Christi Clinic PA
Wichita, KS 67203-2125
Phone (316) 832-9024

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

818 N Emporia St
107 Ascension Via Christi Physician Group
Wichita, KS 67214-3725
Phone (316) 268-5864

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000

929 N Saint Francis St
Wichita, KS 67214-3821

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-00664KSMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA Current Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Mar 1, 2018 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Sep 1, 2024 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Sep 1, 2024 Accepting new patients
Via Christi Hospitals Wichita, Inc. Past Accepting new patients
Ascension Medical Group Via Christi, PA Past Accepting new patients

Locations

817 N Emporia St
Wichita, KS 67214
Phone (316) 268-5927

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

4013 N Ridge Rd
Ste 210
Wichita, KS 67205
Phone (316) 945-7309

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

818 N Emporia St
Ste 107
Wichita, KS 67214
Phone (316) 263-0296

1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1124027941",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 N FOUNDERS CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063548",
            "telephone_number": "316-613-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULVER",
        "first_name": "SIMONE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "15-00664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100345540C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.