Individual provider Active NPI

Faith Vautravers, PA-C

  • Physician Assistant
  • Salina, KS
National Provider Identifier
1417634650
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02767 Issued in KS
Practice address
828 Elmhurst Blvd
Salina, KS 67401-7406
Phone
(785) 827-2500
Fax
(785) 827-2515
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 15-02767 KS
Physician Assistant 363A00000X 15-02767 KS Primary

Addresses

Primary practice location

828 Elmhurst Blvd
Salina, KS 67401-7406

Mailing address

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160
Phone (316) 612-1833

Other practice location 1

835 N Hillside St
Wichita, KS 67214-4913
Phone (316) 247-6451

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
I20230816002723 KS Practitioner - Physician Assistant 7719349166

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

660 N Armour St
Wichita, KS 67206-1516

9300 E 29TH St N
Suite 310
Wichita, KS 67226-2160

Merit-based Incentive Payment System (MIPS)

Final score
77.55 of 100Reported as group
Quality
55.09
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-02767KSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Dermatology and Skin Cancer Center, PA Dermatology CurrentSince Jul 6, 2026 Accepting new patients
Scott E Manthei PC LTD PastSince Jul 6, 2026 Accepting new patients

Locations

1017 Jackson St
Ste C
Great Bend, KS 67530
Phone (620) 792-3666

828 Elmhurst Blvd
Salina, KS 67401
Phone (785) 643-1176

9300 E 29th St N
Ste 310
Wichita, KS 67226
Phone (316) 612-1833

Interoperability endpoints

  • Direct secure messaging: faith.vautravers.1@15396.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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1417634650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017406",
            "telephone_number": "785-827-2500",
            "fax_number": "785-827-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 N Hillside St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144913",
            "country_code": "US",
            "telephone_number": "316-247-6451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUTRAVERS",
        "first_name": "FAITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-02767",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.