Individual provider Active NPI

Colby P Shinkle, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1396048906
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4722 W Kellogg Dr
Wichita, KS 67209-2508
Phone
(316) 440-2565
NPI assigned
Dec 21, 2010
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4722 W Kellogg Dr
Wichita, KS 67209-2508

Mailing address

3018 N Rock Bridge St
Derby, KS 67037-8780
Phone (316) 640-2791

Other practice location 1

3560 N Maize Rd Ste 106
Wichita, KS 67205-7393
Phone (316) 669-3851

Other practice location 2

5838 E Central Ave
Wichita, KS 67208-4203
Phone (316) 440-4595

Other practice location 3

527 N Grove St
Wichita, KS 67214-4520
Phone (316) 262-2415

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
I20211208000798 KS Practitioner - Physician Assistant 7012307960 Reassigns benefits to 2 organizations

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
Hylo Urgent Care Clinics, P.a.Group PAC ID 7618042698, 14 clinicians

Practice addresses (Care Compare)

3560 N Maize Rd
Suite 106
Wichita, KS 67205-7393
Phone (316) 669-3851

4722 W Kellogg Dr
Wichita, KS 67209-2508
Phone (316) 440-2565

5838 E Central Ave
Wichita, KS 67208-4203
Phone (316) 440-4595

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Health Clinic Inc CurrentSince Jul 1, 2022 Accepting new patients
Hylo Urgent Care Clinics, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Hylo Urgent Care Clinics, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Hunter Health Clinic, Inc CurrentSince Jul 1, 2022 Accepting new patients
Emergent Care Plus, LLC Past Accepting new patients
Cancer Center of Kansas, P.a. Past Accepting new patients

Locations

2318 E Central Ave
Wichita, KS 67214
Phone (316) 262-2415

3560 N Maize Rd
Ste 106
Wichita, KS 67205
Phone (316) 669-3851

4722 W Kellogg Dr
Wichita, KS 67209
Phone (316) 440-2565

527 N Grove St
Wichita, KS 67214
Phone (316) 262-2415

5838 E Central Ave
Wichita, KS 67208
Phone (316) 440-4594

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1396048906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 N ROCK BRIDGE ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670378780",
            "telephone_number": "316-640-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 W KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092508",
            "telephone_number": "316-440-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 N Maize Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672057393",
            "country_code": "US",
            "telephone_number": "316-669-3851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5838 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672084203",
            "country_code": "US",
            "telephone_number": "316-440-4595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 N Grove St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144520",
            "country_code": "US",
            "telephone_number": "316-262-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINKLE",
        "first_name": "COLBY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-21",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.