Individual provider Active NPI

Dylan Sinclair, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1962238659
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02958 Issued in KS
Practice address
3161 N Rock Rd Ste a
Wichita, KS 67226-1453
Phone
(316) 440-2712
NPI assigned
Sep 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 15-02958 KS Primary

Addresses

Primary practice location

3161 N Rock Rd Ste a
Wichita, KS 67226-1453

Mailing address

3161 N Rock Rd Ste a
Wichita, KS 67226-1453

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
I20241002000431 KS Practitioner - Physician Assistant 9335670363 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newman Memorial County HospitalGroup PAC ID 5193638526, 61 clinicians

Practice addresses (Care Compare)

1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

1301 W 12TH Ave
Emporia, KS 66801-2590

1301 W 12TH Ave 301 and
205 NRH Medical Partners Primary Care
Emporia, KS 66801-2590
Phone (620) 343-2376

Hospital & facility affiliations

  • Newman Regional Health Hospital, Emporia, KS, CCN 171384

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-02958KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital Current Accepting new patients
Newman Memorial County Hospital CurrentSince Jul 20, 2025 Accepting new patients
Newman Memorial County Hospital CurrentSince Jul 20, 2025 Accepting new patients
Newman Memorial County Hospital Past Accepting new patients

Locations

1301 W 12th Ave
Ste 110
Emporia, KS 66801
Phone (620) 343-7828

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

1301 W 12th Ave
Ste 105
Emporia, KS 66801
Phone (620) 340-6181

1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376

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 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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1962238659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 N ROCK RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 N ROCK RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261453",
            "telephone_number": "316-440-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "DYLAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.