Individual provider Active NPI

Tyler Maxwell, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1881130177
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02516 Issued in KS
Practice address
5838 E Central Ave
Wichita, KS 67208-4203
Phone
(316) 440-4594
NPI assigned
Jan 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 15-02516 KS Primary

Addresses

Primary practice location

5838 E Central Ave
Wichita, KS 67208-4203

Mailing address

1947 N Founders Cir
Wichita, KS 67206-3548
Phone (162) 744-6403

Other practice location 1

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

Other practice location 2

119 N. Woodberry Rd.
Burrton, KS 67020
Phone (620) 899-3643

Other practice location 3

4722 W Kellogg Dr
Wichita, KS 67209-2508
Phone (316) 440-2565

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
I20210914000558 KS Practitioner - Physician Assistant 3678979838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

800 Medical Ctr Dr
Newton, KS 67114-7808
Phone (316) 283-9977

Hospital & facility affiliations

  • NMC Health Hospital, Newton, KS, CCN 170103
  • St Luke Hospital & Living Center Hospital, Marion, KS, CCN 171356

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Healthcare Corporation Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
Newton Healthcare Corporation CurrentSince Jan 1, 2026 Accepting new patients
Advanced Orthopaedic Associates, PA CurrentSince Dec 1, 2023 Accepting new patients
Hylo Urgent Care Clinics, P.a. CurrentSince Apr 24, 2025 Accepting new patients
Hylo Urgent Care Clinics, P.a. CurrentSince Apr 24, 2025 Accepting new patients
Hylo Urgent Care Clinics, P.a. Past Accepting new patients

Locations

800 Medical Center Dr
Newton, KS 67114
Phone (316) 283-0027

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

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

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

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 7

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.

Hospital & facility affiliations 2

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": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1881130177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 N FOUNDERS CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063548",
            "telephone_number": "162-744-6403",
            "fax_number": "613-274-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084203",
            "telephone_number": "316-440-4594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 N Maize Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672057393",
            "country_code": "US",
            "telephone_number": "316-669-3851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 N. Woodberry Rd.",
            "address_purpose": "LOCATION",
            "city": "Burrton",
            "state": "KS",
            "postal_code": "67020",
            "country_code": "US",
            "telephone_number": "620-899-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4722 W Kellogg Dr",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672092508",
            "country_code": "US",
            "telephone_number": "316-440-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-11",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.