Individual provider Active NPI

Brittany Nicole Imel, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1639426224
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501555 Issued in KS
Practice address
9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Phone
(316) 631-1600
Fax
(316) 631-1617
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 1501555 KS Primary

Addresses

Primary practice location

9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100

Mailing address

9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Phone (316) 631-1600

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
I20121031000509 KS Practitioner - Physician Assistant 4587814389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopaedic Associates, P.a.Group PAC ID 1850285057, 47 clinicians

Practice addresses (Care Compare)

1323 N a St
Wellington, KS 67152-4350
Phone (316) 631-1600

Merit-based Incentive Payment System (MIPS)

Final score
79.41 of 100Reported as group
Quality
61.12
Promoting interoperability
100
Improvement activities
40
Cost
70.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1501555KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopaedic Associates, PA CurrentSince Nov 1, 2016 Accepting new patients

Locations

14700 W Saint Teresa St
Ste 120
Wichita, KS 67235
Phone (316) 631-1600

2778 N Webb Rd
Wichita, KS 67226
Phone (316) 631-1600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHFAA

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1639426224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 E SHANNON WOODS CIR # 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 E SHANNON WOODS CIR # 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMEL",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.