Shawn C Vredenburg, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

T03473 Issued in KS

Practice address

3311 E Murdock St
Wichita, KS 67208-3054

Phone

(316) 689-9107

NPI assigned

Oct 29, 2012

Last updated

Jul 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Decatur Health Systems IncGroup PAC ID 8022928225, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Health Hospital, Oberlin, KS, CCN 171352
• Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020
• Kingman Healthcare Center Hospital, Kingman, KS, CCN 171378

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Decatur Health Systems Inc

  dba Decatur Health

  • Critical Access Hospital
  • Oberlin, KS
  • NPI 1619973468
  Medicare reassignment Care Compare group NPD
• Hutchinson Regional Medical Center, Inc.

  • Hospitalist Physician
  • Hutchinson, KS
  • NPI 1972605285
  Medicare reassignment NPD
• Ninnescah Valley Health Systems, Inc.

  dba Kingman Healthcare Center

  • Critical Access Hospital
  • Kingman, KS
  • NPI 1285629956
  Medicare reassignment NPD
• Decatur Health Systems Inc

  dba Decatur Health Systems Family Practice Clinic

  • Rural Health Clinic/Center
  • Oberlin, KS
  • NPI 1013222629
  Medicare reassignment
• Ninnescah Valley Health Systems, Inc.

  dba Kingman Healthcare Center

  • Critical Access Hospital
  • Kingman, KS
  • NPI 1508969965
  Medicare reassignment
• Hutchinson Regional Medical Center, Inc.

  dba Hutchinson Regional Physician Network

  • Pulmonary Disease Physician
  • Hutchinson, KS
  • NPI 1659931525
  NPD
• Cancer Center of Kansas, P.a.

  • Hematology & Oncology Physician
  • Wichita, KS
  • NPI 1841251394
  NPD (past)
• Goodland Regional Medical Center

  • Critical Access Hospital Clinic/Center
  • Goodland, KS
  • NPI 1447392451
  NPD (past)
• Ninnescah Valley Health Systems, Inc.

  dba Kingman Healthcare Center

  • Medicare Defined Swing Bed Hospital Unit
  • Kingman, KS
  • NPI 1528026291
  NPD (past)

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

• Decatur Health Systems Inc

  dba Decatur Health

  • Critical Access Hospital
  • Oberlin, KS
  • NPI 1619973468
  Care Compare affiliation
• Hutchinson Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hutchinson, KS
  • NPI 1922039320
  Care Compare affiliation
• Ninnescah Valley Health Systems, Inc.

  dba Kingman Healthcare Center

  • Critical Access Hospital
  • Kingman, KS
  • NPI 1285629956
  Care Compare affiliation

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1194079277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S DODGE AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134436",
            "telephone_number": "316-617-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083054",
            "telephone_number": "316-689-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VREDENBURG",
        "first_name": "SHAWN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T03473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Voth, LCP, LCAC
• Matthew T Voth, MD
• Riki D Voth, OTR
• Devin Jeanne Vrana, D.C.
• Crystal Vrbas, DPT
• Vu Medical Clinic, P.a.
• Banglinh Nguyen Vu, RN
• Christine Tran Vu, DO
• Francis P Vu, PHARM D
• Kelly Vu

• 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 Jul 18, 2025; 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.