Individual provider Active NPI

Corwin Nozari, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1366031403
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
12112 W Kellogg St
Wichita, KS 67235-1100
Phone
(316) 630-9300
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 KS Primary

Addresses

Primary practice location

12112 W Kellogg St
Wichita, KS 67235-1100

Mailing address

1701 E 23Rd Ave
Hutchinson, KS 67502-9907
Phone (620) 665-2000

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
I20220916002207 KS Practitioner - Physician Assistant 7719362359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-America Orthopedics LLCGroup PAC ID 1850455759, 30 clinicians

Practice addresses (Care Compare)

12112 W Kellogg St
Wichita, KS 67235-1100
Phone (316) 630-9300

1824 E James St
Derby, KS 67037-8634
Phone (316) 630-9300

1923 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 630-9300

1927 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 630-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.9 of 100Reported as group
Quality
62.85
Promoting interoperability
99
Improvement activities
40
Cost
70.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-America Orthopedics LLC CurrentSince Jan 15, 2024 Accepting new patients
Mid-America Orthopedics, P.a. Past Accepting new patients

Locations

12112 W US Highway 54
Wichita, KS 67235
Phone (316) 440-1100

1923 N Webb Rd
Wichita, KS 67206
Phone (316) 262-4886

Interoperability endpoints

  • Direct secure messaging: corwin.nozari.1@19896.direct.athenahealth.com
  • Direct secure messaging: corwin.nozari.1@26355.direct.athenahealth.com

Organizations & group practices 2

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 5

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1366031403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675029907",
            "telephone_number": "620-665-2000",
            "fax_number": "316-858-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 W KELLOGG ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351100",
            "telephone_number": "316-630-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOZARI",
        "first_name": "CORWIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.