Amanda Peeples, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01318 Issued in KS

Practice address

3715 N Oliver
Wichita, KS 67220

Phone

(316) 942-4519

Fax

(316) 942-4655

NPI assigned

Feb 15, 2008

Last updated

Sep 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Amanda Dimitroff Former name

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Medical II LLCGroup PAC ID 4284175589, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Wichita, KS, CCN 177117

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Mobile Medical II, LLC

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1588409627
  Medicare reassignment Care Compare group
• Ennoble HC KS II LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Wichita, KS
  • NPI 1942182845
  Medicare reassignment NPD
• Ennoble HC KS III LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Wichita, KS
  • NPI 1568344471
  Medicare reassignment NPD
• Advanced Pain Medicine Associates, LLC

  • Specialist
  • Wichita, KS
  • NPI 1083982037
  Medicare reassignment
• Mobile Medical, LLC

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1366727463
  NPD (past)

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

• Via Christi Home Health Wichita, LLC

  dba Ascension at Home

  • Home Health Agency
  • Wichita, KS
  • NPI 1235132119
  Care Compare affiliation

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1942478698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 412",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034202",
            "telephone_number": "551-295-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N OLIVER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67220",
            "telephone_number": "316-942-4519",
            "fax_number": "316-942-4655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Douglas Ave Fl 2nd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672023515",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 N Riverview St Ste 412",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672034202",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEPLES",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01318",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200635380B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS - MEDICARE",
            "identifier": "003719340",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DIMITROFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pediatrix Medical Group of Kansas PA
• Saige A Peebler, OTA
• Kathryn Peek
• Peeples Orthotics & Prosthetics (Peeples O & P)
• Peeples Orthotics & Prosthetics LLC
• Peer Connect LLC
• Peerconnect at Ict
• Peers With Purpose LLC
• William H Peery, M.D.
• Clayton Peet, LSCSW, LCSW

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.