Individual provider Active NPI

Courtney Tenille Schwanke, PA-C

  • Physician Assistant
  • El Dorado, KS
National Provider Identifier
1225430895
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01725 Issued in KS
Practice address
700 W Central Ave
Suite 105
El Dorado, KS 67042-2184
Phone
(316) 322-9813
NPI assigned
Sep 25, 2014
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 15-01725 KS Primary

Addresses

Primary practice location

700 W Central Ave
Suite 105
El Dorado, KS 67042-2184

Mailing address

700 W Central Ave Ste 105
El Dorado, KS 67042-2187
Phone (316) 322-9813

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
I20141029002536 KS Practitioner - Physician Assistant 2961623202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Dorado Clinic, P.a.Group PAC ID 7911944897, 6 clinicians
Advanced Orthopaedic Associates, P.a.Group PAC ID 1850285057, 47 clinicians

Practice addresses (Care Compare)

700 W Central Ave
Suite 205
El Dorado, KS 67042-2186
Phone (316) 321-2010

9828 E Shannon Woods Cir
Suite 100
Wichita, KS 67226-4100
Phone (316) 631-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.9 of 100Reported as group
Quality
62.85
Promoting interoperability
99
Improvement activities
40
Cost
70.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01725KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopaedic Associates, PA CurrentSince Jan 1, 2026 Accepting new patients
Advanced Orthopaedic Associates, P.a. CurrentSince Jan 1, 2026 Accepting new patients
El Dorado Clinic, P.a. CurrentSince Mar 6, 2024 Accepting new patients

Locations

700 W Central Ave
Ste 105
El Dorado, KS 67042
Phone (316) 321-9813

700 W Central Ave
Ste 205
El Dorado, KS 67042
Phone (316) 321-2010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHFAA

Organizations & group practices 4

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 1

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": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1225430895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE STE 105",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422187",
            "telephone_number": "316-322-9813",
            "fax_number": "316-631-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "address_2": "SUITE 105",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-322-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANKE",
        "first_name": "COURTNEY",
        "middle_name": "TENILLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

Verify at the official NPI Registry.