Amber N Mattke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01047 Issued in KS

Practice address

551 N Hillside St Ste 510
Wichita, KS 67214-4928

Phone

(316) 685-0559

Fax

(316) 685-0455

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susan B Allen Memorial HospitalGroup PAC ID 7719898980, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Susan B. Allen Memorial Hospital

  • General Practice Physician
  • El Dorado, KS
  • NPI 1164554820
  Medicare reassignment Care Compare group NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1659768125
  Medicare reassignment
• Wichita OB-GYN Associates, PA

  • Obstetrics & Gynecology Physician
  • Wichita, KS
  • NPI 1407886120
  Medicare reassignment
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1790172260
  NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wellington, KS
  • NPI 1932704608
  NPD
• Susan B. Allen Memorial Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • El Dorado, KS
  • NPI 1124594957
  NPD
• Susan B. Allen Memorial Hospital

  • Urgent Care Clinic/Center
  • El Dorado, KS
  • NPI 1588156574
  NPD
• Via Christi Emergency Physician Services, LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1265497747
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Susan B. Allen Memorial Hospital

  • General Acute Care Hospital
  • El Dorado, KS
  • NPI 1700994977
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1609808955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 510",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144928",
            "telephone_number": "316-685-0559",
            "fax_number": "316-685-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 510",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144928",
            "telephone_number": "316-685-0559",
            "fax_number": "316-685-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTKE",
        "first_name": "AMBER",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klong@wichitaobgyn.org",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "551 N Hillside St Ste 510",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew a. Butler, MD, PA
• Matthew E Goltl, DC, PA
• Matthew E Robertson DMD LLC
• Matthew H. Conrad, MD, PA
• Lorie Matthews
• Claudia Mattox, PA-C
• Emily Mattox
• Iman Mattox, RN
• Cara E Mattson, LMSW
• Jack Mattson, RPH

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.