MINDY JO KOBBEMAN (PA-C) – Physician Assistant, NPI 1164856613
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for MINDY JO KOBBEMAN (PA-C)
1002 S 4TH ST, PO BOX 184
KIOWA, KS 670700184
Phone: (620) 825-4131
Fax: (620) 825-4667
Type: Mailing
1002 S 4TH ST
KIOWA, KS 670701825
Phone: (320) 825-4131
Type: Location
10346 E STONEGATE LN STE 100
WICHITA, KS 672062054
Phone:
Fax: (833) 903-3589
Type: Mailing
3715 N OLIVER ST
WICHITA, KS 672203404
Phone: (316) 942-4519
Fax: (316) 942-4655
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $3,261.
Total Amount is formed as General ($3,261) + Research ($0) + Ownership ($0) = $3,261.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Nalu Medical, Inc. ($1,636).
Total Amount
$3,261
General + Research + Ownership
Payments
89
Total payment records
General Amount
$3,261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nalu Medical, Inc. | $1,636 |
| Medtronic, Inc. | $801 |
| Collegium Pharmaceutical, Inc. | $571 |
| TerSera Therapeutics LLC | $47 |
| IBSA Pharma Inc. | $34 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (986 days ago).
Enrollment records
1
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140903001839 | I | Physician Assistant | KS | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 752 | 200 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 371 | 140 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 311 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 156 | 106 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 70 | 70 | $0 |
Insurance plans in this area (ZIP 67070)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Pediatric Medicine | KS | |
| Nurse Practitioner | OK | |
| Internal Medicine | KS |
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