Active NPI
Blue Sky Primary Care PA
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1124852066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BLUE SKY PRIMARY CARE PA
- Practice address
- 925 N Hillside St
Wichita, KS 67214-3219 - Phone
- (316) 689-4203
- Fax
- (316) 235-2460
- NPI assigned
- Aug 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kari Edwards
- Title
- General Manager
- Phone
- (316) 616-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
925 N Hillside St
Wichita, KS 67214-3219
Mailing address
925 N Hillside St
Wichita, KS 67214-3219
Phone (316) 689-4203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, OK
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
111 S Whittier Rd
Ste 330
Wichita, KS 67207
Phone (316) 293-0285
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Wichita, KS
- NPI 1164493201
-
- Gerontology Nurse Practitioner
- Wichita, KS
- NPI 1932684792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1124852066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143219",
"telephone_number": "316-689-4203",
"fax_number": "316-235-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143219",
"telephone_number": "316-689-4203",
"fax_number": "316-235-2460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE SKY PRIMARY CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-30",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "KARI",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "316-616-3333"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.