Individual provider Active NPI

Mellissa D Simko, P.A.

  • Physician Assistant
  • Wellington, KS
National Provider Identifier
1821076514
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500694 Issued in KS
Practice address
1323 N a St
Wellington, KS 67152-4350
Phone
(620) 326-3353
Fax
(620) 326-2032
NPI assigned
Jan 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 1500694 KS Primary

Addresses

Primary practice location

1323 N a St
Wellington, KS 67152-4350

Mailing address

PO Box 628
Wellington, KS 67152-0628
Phone (620) 326-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050505000138 KS Practitioner - Physician Assistant 4082654496 Reassigns benefits to 2 organizations
I20250106000270 OK Practitioner - Physician Assistant 4082654496 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2741OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Center, P.a. CurrentSince May 1, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Dec 27, 2024 Accepting new patients
Sumner Regional Medical Center CurrentSince Oct 12, 2016 Accepting new patients
Wellington Family Practice Clinic LLP Past Accepting new patients
Central Plains Cardiothoracic Surgery, LLC Past Accepting new patients
Emergency Services, PA Past Accepting new patients

Locations

1861 N Webb Rd
Wichita, KS 67206
Phone (316) 688-7500

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821076514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671520628",
            "telephone_number": "620-326-3353",
            "fax_number": "620-326-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N A ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671524350",
            "telephone_number": "620-326-3353",
            "fax_number": "620-326-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKO",
        "first_name": "MELLISSA",
        "middle_name": "D",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

Verify at the official NPI Registry.