Active NPI
Amy L Bornholdt, PA
- Physician Assistant
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-01037
- 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.
-
- General Acute Care Hospital
- Hutchinson, KS
- NPI 1922039320
Hospital
-
- Rural Acute Care Hospital
- Pratt, KS
- NPI 1578596904
Hospital
-
- Surgery Physician
- Hoisington, KS
- NPI 1255697728
Hospital
-
- Surgery Physician
- Great Bend, KS
- NPI 1366700593
Hospital
-
- Surgery Physician
- Hoisington, KS
- NPI 1851729438
Hospital
-
- Critical Access Hospital
- Hoisington, KS
- NPI 1114964111
Hospital
-
- Rural Health Clinic/Center
- Great Bend, KS
- NPI 1265816300
Hospital
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.
Practice addresses (Care Compare)
310 S Hillside St
Wichita, KS 67211-2129
Phone (316) 264-3505
Hospital & facility affiliations
- Hutchinson Regional Medical Center Inc
- University of KS HLTH System Great Bend Campus
- Hospital District #1 of Rice County
- Clara Barton Hospital
- Pratt Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.62 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15-01037 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Disease Consultants, P.a. | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-01037 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.