NPIMap

Individual provider Active NPI

Abbie Collinsworth, MD

  • Emergency Medicine Physician
  • Wichita, KS
National Provider Identifier
1902996630
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0430531 Issued in KS
Practice address
10346 E Stonegate LN Ste 100
Wichita, KS 67206-2054
Phone
(316) 871-0779
NPI assigned
Oct 13, 2006
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0430531 KS Primary

Addresses

Primary practice location

10346 E Stonegate LN Ste 100
Wichita, KS 67206-2054

Mailing address

PO Box 548
Wichita, KS 67201-0548
Phone (316) 962-2239

Other identifiers 1

IdentifierTypeStateIssuer
200266790AMedicaidKS

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
I20040915001144 KS Practitioner - Emergency Medicine 9931176153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical on Demand LLCGroup PAC ID 3476936865, 9 clinicians
Mid-Kansas Wound Specialist P aGroup PAC ID 3678562147, 17 clinicians
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

Practice addresses (Care Compare)

10346 E Stonegate LN
Suite 100
Wichita, KS 67206-2054
Phone (316) 871-0995

2648 N Rock Rd
Derby, KS 67037-3797
Phone (316) 962-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue707
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0430531KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Kansas Wound Specialist P a CurrentSince May 19, 2024 Accepting new patients
Carepoint Emergency Medicine Kansas LLC Emergency Medicine CurrentSince Dec 5, 2016 Accepting new patients
Medical on Demand LLC CurrentSince Jan 1, 2025 Accepting new patients
Emergency Services, PA Emergency Medicine Past Accepting new patients
Joplin Pain Care Group LLC Past Accepting new patients

Locations

221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100

2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000

10346 E Stonegate Ln
Ste 100
Wichita, KS 67206
Phone (316) 871-0995

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

326 N Wabash Ave
Wichita, KS 67214
Phone (316) 710-6858

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

8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900

Interoperability endpoints

  • Direct secure messaging: abbie.collinsworth.1@25736.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25736/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 7

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1902996630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010548",
            "telephone_number": "316-962-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10346 E STONEGATE LN STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062054",
            "telephone_number": "316-871-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINSWORTH",
        "first_name": "ABBIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0430531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266790A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.