NPIMap

Individual provider Active NPI

Colin B Lisenby, MD

  • Sports Medicine (Family Medicine) Physician
  • Wichita, KS
National Provider Identifier
1679922652
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
04-41606 Issued in KS
Practice address
9828 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4100
Phone
(316) 631-1600
Fax
(316) 631-1617
NPI assigned
Jun 9, 2016
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
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
Sports Medicine (Family Medicine) Physician 207QS0010X 04-41606 KS Primary

Addresses

Primary practice location

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

Mailing address

9828 E Shannon Woods Cir Ste 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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008003351 KS Practitioner - Family PracticePractitioner - Sports Medicine 8628361524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopaedic Associates, P.a.Group PAC ID 1850285057, 47 clinicians
Hylo Urgent Care Clinics, P.a.Group PAC ID 7618042698, 14 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

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

3560 N Maize Rd
Suite 106
Wichita, KS 67205-7393
Phone (316) 669-3851

5838 E Central Ave
Wichita, KS 67208-4203
Phone (316) 440-4595

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center CurrentSince Jun 19, 2022 Accepting new patients
Labette County Medical Center Family Medicine CurrentSince Jun 19, 2022 Accepting new patients
Advanced Orthopaedic Associates, PA CurrentSince Aug 1, 2023 Accepting new patients
Advanced Orthopaedic Associates, P.a. CurrentSince Aug 1, 2023 Accepting new patients
Hylo Urgent Care Clinics, P.a. CurrentSince Nov 1, 2020 Accepting new patients
Labette County Medical Center Current Accepting new patients
Hylo Urgent Care Clinics, P.a. CurrentSince Nov 1, 2020 Accepting new patients
Hylo Urgent Care Clinics, P.a. Past Accepting new patients

Locations

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

3560 N Maize Rd
Ste 106
Wichita, KS 67205
Phone (316) 669-3851

4722 W Kellogg Dr
Wichita, KS 67209
Phone (316) 440-2565

5838 E Central Ave
Wichita, KS 67208
Phone (316) 440-4594

Interoperability endpoints

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

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1679922652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 E SHANNON WOODS CIR STE 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 STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISENBY",
        "first_name": "COLIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "04-41606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.