Amanda Catherine Wilson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-02015 Issued in KS

Practice address

2101 N Waldron St
Hutchinson, KS 67502-1197

Phone

(620) 669-2500

NPI assigned

Sep 5, 2017

Last updated

Aug 2, 2022By 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

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Center, P.a.Group PAC ID 3971408642, 25 clinicians

Hutchinson Clinic PA IncGroup PAC ID 5597658492, 130 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amandawilson@hcpa.allscriptsdirect.net

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.

• Hutchinson Clinic, P.a., Inc.

  • Internal Medicine Physician
  • Hutchinson, KS
  • NPI 1043298474
  Medicare reassignment Care Compare group
• Maria Medical Group, LLC

  dba AFC Doctors Express

  • Urgent Care Clinic/Center
  • Wichita, KS
  • NPI 1053740092
  Medicare reassignment
• Hutchinson Clinic, P.a. Inc.

  • Rural Health Clinic/Center
  • Hutchinson, KS
  • NPI 1902871940
  NPD
• Hutchinson Clinic, P.a., Inc.

  dba Hutchinson Clinic Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Hutchinson, KS
  • NPI 1386619682
  NPD
• Hutchinson Clinic, P.a., Inc.

  • Clinical Medical Laboratory
  • Hutchinson, KS
  • NPI 1962477356
  NPD
• Hutchinson Clinic, PA, Inc.

  dba Hutchinson Clinic Diabetes Prevention Program

  • Health Educator
  • Hutchinson, KS
  • NPI 1821639774
  NPD

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1174041636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3161 N Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672261452",
            "country_code": "US",
            "telephone_number": "316-440-2712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N 14th St",
            "address_purpose": "LOCATION",
            "city": "Wakeeney",
            "state": "KS",
            "postal_code": "676723000",
            "country_code": "US",
            "telephone_number": "785-743-2124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Wakeeney",
            "state": "KS",
            "postal_code": "676722002",
            "country_code": "US",
            "telephone_number": "785-743-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMANDA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amandawilson@hcpa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Hutchinson Clinic, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2101 N Waldron St",
            "city": "Hutchinson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675021197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Williams Medical Group Practice, LLC (Integrity Urgent Care)
• Makalyn Grace Williams
• Natalie Williams, PA
• Kara Willis, PHARM D.
• Kiley Jean Willis, D.C.
• Eldon Wilson, PHARM. D
• Jennifer Wilson, PA
• Jessica Wilson
• Richard L Wilson, RPH
• Savannah Lea Wilson, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.