Active NPI
Kathryn S. Wolfe-Wappelhorst, PA-C
- Medical Physician Assistant
- Wichita, KS
National Provider Identifier
1730288861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 15-00496
- Practice address
- 2750 S Roosevelt St
Hunter Health Brookside Clinic
Wichita, KS 67210-1304 - Phone
- (316) 652-0152
- Fax
- (316) 652-0928
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-00496 | KS | Primary |
Addresses
Primary practice location
2750 S Roosevelt St
Hunter Health Brookside Clinic
Wichita, KS 67210-1304
Mailing address
940 S. St. Francis
Wichita, KS 67211
Phone (316) 264-8974
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100212200B | Medicaid | KS | |
| 6973 | Other | KS | PREFERRED HEALTH SYSTEMS |
| 926677 | Other | KS | FIRSTGUARD |
| 12032897 | Other | KS | CAQH |
| 042387 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00496 | KS | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1730288861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 S. ST. FRANCIS",
"city": "WICHITA",
"state": "KS",
"postal_code": "67211",
"telephone_number": "316-264-8974",
"fax_number": "316-262-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 S ROOSEVELT ST",
"address_2": "HUNTER HEALTH BROOKSIDE CLINIC",
"city": "WICHITA",
"state": "KS",
"postal_code": "672101304",
"telephone_number": "316-652-0152",
"fax_number": "316-652-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE-WAPPELHORST",
"first_name": "KATHRYN",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "15-00496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100212200B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH SYSTEMS",
"identifier": "6973",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "926677",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12032897",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "042387",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.