MRS. AMY L BORNHOLDT (PA) – Physician Assistant, NPI 1265422752
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
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Provider Addresses for MRS. AMY L BORNHOLDT (PA)
1100, North Saint Francis Street, Wichita, Sedgwick County, Kansas, 67214, United States
SUITE 130
WICHITA, KS 672142878
Phone: (316) 264-3505
Fax: (316) 264-0908
Type: Mailing
2100 N Waldron St Ste 5
Hutchinson, KS 675021176
Phone: (620) 728-1498
Fax: (620) 728-1838
Type: Location
310 S HILLSIDE ST
WICHITA, KS 672112129
Phone: (316) 264-3505
Fax: (316) 264-0908
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $106.
Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ABBVIE INC. ($61).
Total Amount
$106
General + Research + Ownership
Payments
7
Total payment records
General Amount
$106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $61 |
| Insmed, Inc. | $17 |
| CSL Behring | $15 |
| HOSPIRA, INC. | $13 |
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: 2005-10-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20051018000424 | I | Physician Assistant | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| J0878 | Injection, daptomycin, 1 mg | 34,501 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 285 | 161 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 254 | 152 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 246 | 96 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 143 | 22 | $0 |
Insurance plans in this area (ZIP 67214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| - | KS | |
| Infectious Disease, Internal Medicine | TX | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Internal Medicine, Infectious Disease | KS | |
| Physician Assistant | KS | |
| Internal Medicine, Infectious Disease | TX | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS |
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