Individual provider Active NPI

Tori Lyn Barnes, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1508176983
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01934 Issued in KS
Practice address
7550 W Village Cir Ste 1
Wichita, KS 67205-9364
Phone
(316) 838-2020
Fax
(316) 838-7574
NPI assigned
Oct 19, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 085004096 IL
Physician Assistant 363A00000X 15-01934 KS Primary

Addresses

Primary practice location

7550 W Village Cir Ste 1
Wichita, KS 67205-9364

Mailing address

7550 W Village Cir Ste 1
Wichita, KS 67205-9364
Phone (316) 838-2020

Other practice location 1

1527 College Dr
Mount Carmel, IL 62863-2615
Phone (618) 263-6400

Other practice location 2

1527 College Dr
Mount Carmel, IL 62863-2615
Phone (618) 263-6400

Other identifiers 3

IdentifierTypeStateIssuer
085004096OtherILILLINOIS PHYSICIAN ASSISTANT LICENSE
201141620AMedicaidKS
50.003148OtherOHMEDICAL LICENSE NUMBER

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
I20160928000909 KS Practitioner - Physician Assistant 7416142294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunter Health Clinic IncGroup PAC ID 5193632941, 15 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Health Clinic, Inc CurrentSince Mar 1, 2023 Accepting new patients
Hunter Health Clinic Inc Past Accepting new patients
Kansas Spine Anesthesia Corporation PA Past Accepting new patients

Locations

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

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

Organizations & group practices 3

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508176983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059364",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059364",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1527 College Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Carmel",
            "state": "IL",
            "postal_code": "628632615",
            "country_code": "US",
            "telephone_number": "618-263-6400",
            "fax_number": "618-263-6291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1527 College Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Carmel",
            "state": "IL",
            "postal_code": "628632615",
            "country_code": "US",
            "telephone_number": "618-263-6400",
            "fax_number": "618-263-6291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "TORI",
        "middle_name": "LYN",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004096",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PHYSICIAN ASSISTANT LICENSE",
            "identifier": "085004096",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201141620A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "50.003148",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.