Callie Jo Wentling, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1501561 Issued in KS

Practice address

2318 E Central Ave
Wichita, KS 67214-4436

Phone

(316) 262-2415

Fax

(316) 262-0138

NPI assigned

Sep 4, 2012

Last updated

Mar 23, 2021By the provider in NPPES

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 names 1

• Callie Jo Crist Former name

Electronic endpoints 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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hunter Health Clinic IncGroup PAC ID 5193632941, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: callie.wentling@hunter.eclinicaldirectplus.com
• Direct secure messaging: hunterhealth@khindirect.org

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.

• Hunter Health Clinic Inc

  dba Main

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1376618348
  Medicare reassignment Care Compare group NPD (past)
• Hunter Health Clinic, Inc

  dba Hunter Health At Open Door

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1841759453
  NPD

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1154670354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144436",
            "telephone_number": "316-262-2415",
            "fax_number": "316-262-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144436",
            "telephone_number": "316-262-2415",
            "fax_number": "316-262-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 N Grove St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144520",
            "country_code": "US",
            "telephone_number": "316-262-2415",
            "fax_number": "316-264-4734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 E 2nd St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672022504",
            "country_code": "US",
            "telephone_number": "316-262-2414",
            "fax_number": "316-264-4734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 S Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672101304",
            "country_code": "US",
            "telephone_number": "316-652-0152",
            "fax_number": "316-652-0928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 N Market St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143521",
            "country_code": "US",
            "telephone_number": "316-858-1151",
            "fax_number": "316-858-1152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTLING",
        "first_name": "CALLIE",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1501561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hunterhealth@khindirect.org",
            "affiliation": "N",
            "endpointDescription": "Facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "402 E 2nd St N",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672022504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "CRIST",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taci Jo Wendler
• Gina M Wendt-Blasing, LCMFT
• Shawna Wendt, OTR/L
• Wendy D. Reynolds, D.D.S.
• Joel Weninger, APRN
• Bethel Wentz, CRNA
• David Wentz, CRNA
• Echo Edwards Wentz, LMFT
• Abigail Laine Werhan, DO
• Zachary Werhan, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.