Individual provider Active NPI

Kelly D Freund, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1619248325
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7329 W. Village Cir
Wichita, KS 67205
Phone
(316) 260-6363
Fax
(316) 260-6301
NPI assigned
Jan 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X KS Primary

Addresses

Primary practice location

7329 W. Village Cir
Wichita, KS 67205

Mailing address

7329 W Village Cir
Wichita, KS 67205-1555
Phone (316) 260-6363

Other practice location 1

1901 N Maize Rd
Wichita, KS 67212-5203
Phone (316) 462-1050

Other practice location 2

1901 N Maize Rd
Wichita, KS 67212
Phone (316) 462-1050

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
I20120324000045 KS Practitioner - Physician Assistant 9234399577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ict Internal Medicine and Pain Management LLCGroup PAC ID 3577848266, 3 clinicians

Practice addresses (Care Compare)

7329 W Village Cir
Wichita, KS 67205-1555
Phone (316) 260-6363

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ea2, PA Past Accepting new patients

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": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1619248325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 W VILLAGE CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051555",
            "telephone_number": "316-260-6363",
            "fax_number": "316-260-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 W. VILLAGE CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-260-6363",
            "fax_number": "316-260-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N Maize Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672125203",
            "country_code": "US",
            "telephone_number": "316-462-1050",
            "fax_number": "316-462-1053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 N Maize Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67212",
            "country_code": "US",
            "telephone_number": "316-462-1050",
            "fax_number": "316-462-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREUND",
        "first_name": "KELLY",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.