Individual provider Active NPI

Therese Dawn Schrandt, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1679555221
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00739 Issued in KS
Practice address
9300 E 29TH St N Ste 310
Wichita, KS 67226-2160
Phone
(316) 612-1833
Fax
(316) 612-2420
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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 15-00739 KS Primary

Addresses

Primary practice location

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160

Mailing address

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160
Phone (316) 612-1833

Other practice location 1

13213 W 21st Ct N
Wichita, KS 67235-9625
Phone (316) 612-1833

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
I20050426000836 KS Practitioner - Physician Assistant 9234178666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Dermatology and Skin Cancer Center, PAGroup PAC ID 1951388289, 31 clinicians

Practice addresses (Care Compare)

13213 W 21St CT N
Wichita, KS 67235-9625
Phone (316) 612-1833

828 Elmhurst Blvd
Salina, KS 67401-7406
Phone (785) 827-2500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-00739KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Kansas Dermatology Clinic, PA PastSince Jun 1, 2020 Accepting new patients
Scott E Manthei PC LTD PastSince Jun 14, 2020 Accepting new patients
Manhattan Dermatology, PA PastSince Apr 21, 2021 Accepting new patients

Organizations & group practices 4

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1679555221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13213 W 21st Ct N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672359625",
            "country_code": "US",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRANDT",
        "first_name": "THERESE",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.