Active NPI
Kathryn A Welch, PA-C
- Medical Physician Assistant
- Wichita, KS
National Provider Identifier
1336142116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 15-00659
- Practice address
- 220 S Hillside St Ste a
Wichita, KS 67211-2151 - Phone
- (316) 686-6866
- Fax
- (316) 686-9797
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-00659 | KS | Primary |
Addresses
Primary practice location
220 S Hillside St Ste a
Wichita, KS 67211-2151
Mailing address
220 S Hillside St Ste a
Wichita, KS 67211-2151
Phone (316) 686-6866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042558 | Other | KS | BC/BS |
| 100446140A | Medicaid | KS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Wichita, KS 67211
Phone (316) 686-6866
220 S Hillside St
Wichita, KS 67211-2150
220 S Hillside St
Suite a
Wichita, KS 67211-2151
Hospital & facility affiliations
- Wesley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00659 | KS | MD | Medical Physician Assistant |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABJACA/Endpoint/ABJACA
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.
-
- Specialist
- Wichita, KS
- NPI 1891805727
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1336142116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S HILLSIDE ST STE A",
"city": "WICHITA",
"state": "KS",
"postal_code": "672112151",
"telephone_number": "316-686-6866",
"fax_number": "316-686-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S HILLSIDE ST STE A",
"city": "WICHITA",
"state": "KS",
"postal_code": "672112151",
"telephone_number": "316-686-6866",
"fax_number": "316-686-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "KATHRYN",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "15-00659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "042558",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100446140A",
"state": "KS"
}
],
"endpoints": [],
"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 Dec 2, 2019; 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.