Individual provider Active NPI

Emma Kathleen Wingert, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1235874728
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02624 Issued in KS
Practice address
3161 N Webb Rd Ste 200
Wichita, KS 67226-8105
Phone
(316) 350-5455
Fax
(966) 669-6703
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 15-02624 KS Primary

Addresses

Primary practice location

3161 N Webb Rd Ste 200
Wichita, KS 67226-8105

Mailing address

3161 N Webb Rd Ste 200
Wichita, KS 67226-8105
Phone (316) 350-5455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kansasdec@protronmail.com

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
I20220526000816 KS Practitioner - Physician Assistant 9133507593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Diabetes and Endocrinology Center LLCGroup PAC ID 8628312600, 3 clinicians

Practice addresses (Care Compare)

3161 N Webb Rd
Suite 200
Wichita, KS 67226-8105
Phone (316) 350-5455

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-02624KSMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: emma.wingert.1@18633.direct.athenahealth.com

Organizations & group practices 1

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 4

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1235874728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 N WEBB RD STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268105",
            "telephone_number": "316-350-5455",
            "fax_number": "866-669-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 N WEBB RD STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268105",
            "telephone_number": "316-350-5455",
            "fax_number": "966-669-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGERT",
        "first_name": "EMMA",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kansasdec@protronmail.com",
            "affiliation": "N",
            "address_1": "3161 N Webb Rd Ste 200",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672268105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.