Individual provider Active NPI

Mindy Jo Kobbeman, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1164856613
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01626 Issued in KS
Practice address
10346 E Stonegate LN Ste 100
Wichita, KS 67206-2054
Phone
(316) 871-0995
NPI assigned
Sep 2, 2013
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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 15-01626 KS Primary

Addresses

Primary practice location

10346 E Stonegate LN Ste 100
Wichita, KS 67206-2054

Mailing address

10346 E Stonegate LN Ste 100
Wichita, KS 67206-2054

Other names 1

  • Mindy Jo Schrader Former name

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
I20140903001839 KS Practitioner - Physician Assistant 5496980047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical on Demand LLCGroup PAC ID 3476936865, 9 clinicians

Practice addresses (Care Compare)

10346 E Stonegate LN
Suite 100
Wichita, KS 67206-2054
Phone (316) 871-0995

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01626KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Catherine Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mindy.kobbeman.1@25736.direct.athenahealth.com

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 5

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": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1164856613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10346 E STONEGATE LN STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062054",
            "fax_number": "833-903-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10346 E STONEGATE LN STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062054",
            "telephone_number": "316-871-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBBEMAN",
        "first_name": "MINDY",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-02",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "SCHRADER",
            "middle_name": "JO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.