Individual provider Active NPI

Amy L Bornholdt, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1265422752
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01037 Issued in KS
Practice address
310 S Hillside St
Wichita, KS 67211-2129
Phone
(316) 264-3505
Fax
(316) 264-0908
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

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 9

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Consultants, P.a. 23 clinicians

Practice addresses (Care Compare)

310 S Hillside St
Wichita, KS 67211-2129
Phone (316) 264-3505

Hospital & facility affiliations

  • Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020
  • University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191
  • Hospital District #1 of Rice County Hospital, Lyons, KS, CCN 171330
  • Clara Barton Hospital Hospital, Hoisington, KS, CCN 171333
  • Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as individual
Quality
70.9
Promoting interoperability
99
Improvement activities
40
Cost
75.57

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
I20051018000424 KS Practitioner - Physician Assistant 2769408905 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01037KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants, P.a. CurrentSince Sep 26, 2005 Accepting new patients

Locations

2100 N Waldron St
Ste 5
Hutchinson, KS 67502
Phone (620) 728-1498

1100 N Saint Francis Ave
Ste 130
Wichita, KS 67214
Phone (316) 264-3505

310 S Hillside St
Wichita, KS 67211
Phone (316) 264-3505

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01037 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

310 S Hillside St
Wichita, KS 67211-2129

Mailing address

310 S Hillside St
Wichita, KS 67211-2129
Phone (316) 264-3505

Other practice location 1

2100 N Waldron St Ste 5
Hutchinson, KS 67502-1176
Phone (620) 728-1498

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address medicalrecords@idckansas.com
Direct Messaging Address medicalrecords@idckansas.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2026.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1265422752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112129",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112129",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Waldron St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675021176",
            "country_code": "US",
            "telephone_number": "620-728-1498",
            "fax_number": "620-728-1838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORNHOLDT",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords@idckansas.com",
            "affiliation": "N",
            "address_1": "2100 N Waldron St Ste 5",
            "city": "Hutchinson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675021176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords@idckansas.com",
            "affiliation": "N",
            "address_1": "310 S Hillside St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672112129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.