Alexandra Marie Landon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1501826 Issued in KS

Practice address

1515 S Clifton Ave Ste 300
Wichita, KS 67218

Phone

(316) 858-0550

Fax

(316) 858-0596

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Medical Group Via Christi PAGroup PAC ID 2961314497, 184 clinicians

Mid-Kansas Wound Specialist P aGroup PAC ID 3678562147, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Ascension Medical Group Via Christi, PA

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1063453991
  Medicare reassignment Care Compare group NPD
• Mid-Kansas Wound Specialist P a

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Wichita, KS
  • NPI 1326076977
  Medicare reassignment Care Compare group
• Ascension Via Christi Hospitals Wichita Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  Medicare reassignment NPD
• House Call Medical Services

  • Primary Care Nurse Practitioner
  • Wichita, KS
  • NPI 1417276791
  Medicare reassignment
• Ascension Medical Group Via Christi, PA

  • Rural Health Clinic/Center
  • Wellington, KS
  • NPI 1538773569
  NPD
• Ascension Via Christi Hospitals Wichita Inc.

  • Land Ambulance
  • Wichita, KS
  • NPI 1548097165
  NPD
• Runway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1063751352
  NPD (past)

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

• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1144698903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182953",
            "telephone_number": "316-858-0550",
            "fax_number": "316-858-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "316-858-0550",
            "fax_number": "316-858-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 E Orme St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672072473",
            "country_code": "US",
            "telephone_number": "316-858-0550",
            "fax_number": "316-858-0596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDON",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201122810E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trent Landenberger, T-LMFT
• Cynthia Landers, PH.D.
• Sarah Landers, CRNA
• Scott T Landes, OD
• James Landgraf, MD
• Caryn Rana Landreth, LSCSW
• Estel Lee Landreth, DDS
• Alicia Rose Landrum, LCPC, LMAC
• Jessica Lynn Landrum
• Kristi Kay Landwehr, OTR/L

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.