Individual provider Active NPI

Colleen A Mitchell, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1235119546
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00838 Issued in KS
Practice address
9300 E 29TH St N Ste 310
Wichita, KS 67226-2160
Phone
(316) 612-1833
Fax
(316) 612-2420
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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 15-00838 KS Primary

Addresses

Primary practice location

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160

Mailing address

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160
Phone (316) 612-1833

Other practice location 1

700 W Central Ave Ste 103
El Dorado, KS 67042-2187
Phone (316) 612-1833

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
I20041006000537 KS Practitioner - Physician Assistant 5698734630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Dermatology and Skin Cancer Center, PAGroup PAC ID 1951388289, 31 clinicians

Practice addresses (Care Compare)

700 W Central Ave
Suite 103
El Dorado, KS 67042-2187
Phone (316) 612-1833

828 Elmhurst Blvd
Salina, KS 67401-7406
Phone (785) 827-2500

9300 E 29TH St N
Wichita, KS 67226-2160

9300 E 29TH St N BLDG
Wichita, KS 67226-2160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-00838KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scott E Manthei PC LTD Past Accepting new patients
Manhattan Dermatology, PA PastSince Apr 21, 2021 Accepting new patients
Galichia Medical Group, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cmitchell1@heartlandderm.emadirect.md

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 and National Provider Directory roles.

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1235119546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Central Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "KS",
            "postal_code": "670422187",
            "country_code": "US",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.