Individual provider Active NPI

D'Ambra Suzanne Hinsley, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1427625185
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1502523 Issued in KS
Practice address
929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone
(316) 268-5000
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 1502523 KS Primary

Addresses

Primary practice location

929 N Saint Francis Ave
Wichita, KS 67214-3821

Mailing address

6459 N Kerman Dr
Park City, KS 67219-1628
Phone (316) 737-9546

Other practice location 1

14700 W Saint Teresa St
Wichita, KS 67235-9601
Phone (316) 796-7800

Other practice location 2

3600 E Harry St
Wichita, KS 67218-3713
Phone (316) 268-5000

Other names 1

  • D'Ambra Suzanne Kruger Former name

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
I20211210002028 KS Practitioner - Physician Assistant 8527458256 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1502523KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Kansas LLC CurrentSince Dec 1, 2021 Accepting new patients
Cep America - Kansas LLC CurrentSince Dec 1, 2021 Accepting new patients
William Newton Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
William Newton Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Organizations & group practices 5

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1427625185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6459 N KERMAN DR",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672191628",
            "telephone_number": "316-737-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14700 W Saint Teresa St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672359601",
            "country_code": "US",
            "telephone_number": "316-796-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 E Harry St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672183713",
            "country_code": "US",
            "telephone_number": "316-268-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINSLEY",
        "first_name": "D'AMBRA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1502523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D'AMBRA",
            "last_name": "KRUGER",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.