MRS. KATHLEEN DIANE TYNDALL (P.A.) – Physician Assistant, NPI 1366445157

MRS. KATHLEEN DIANE TYNDALL (P.A.) is a healthcare provider. based in Wichita, Kansas. specializing in Physician Assistant. They hold the professional credentials P.A.. They hold a License No. 12152 (CA). The NPI Number for MRS. KATHLEEN DIANE TYNDALL (P.A.) is 1366445157

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHLEEN DIANE TYNDALL (P.A.)
NPI
1366445157
Phone
(316) 866-2000
Address
1122 N TOPEKA ST
Enumeration Date
24 May 2005
Last Update Date
1 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3168662000
Graduation Year
1997 (29 years ago)
PAC ID
8628017654
Group Practice PAC ID
9830098185
Professional Enrollment ID
I20100917000473
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. KATHLEEN DIANE TYNDALL (P.A.)

  • North Topeka Street, Wichita, Sedgwick County, Kansas, 67204-4502, United States of America

    WICHITA, KS 672142810

    Phone: (316) 866-2000

    Fax: (316) 855-2084

    Type: Mailing

  • 45104 10TH ST W

    LANCASTER, CA 935342310

    Phone: (562) 867-7999

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $345.

Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Gilead Sciences, Inc. ($165).

Total Amount

$345

General + Research + Ownership

Payments

15

Total payment records

General Amount

$345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230912001960IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830098185View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MRS. KATHLEEN DIANE TYNDALL (P.A.) in the U.S.?
In the U.S., MRS. KATHLEEN DIANE TYNDALL (P.A.) is identified by NPI 1366445157.
Is MRS. KATHLEEN DIANE TYNDALL (P.A.)'s NPI status active today?
Active status means MRS. KATHLEEN DIANE TYNDALL (P.A.)'s NPI record is not deactivated in the public file.
What type of care does MRS. KATHLEEN DIANE TYNDALL (P.A.) provide?
MRS. KATHLEEN DIANE TYNDALL (P.A.)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. KATHLEEN DIANE TYNDALL (P.A.) in Wichita, Kansas?
For routing, start with Wichita, Kansas for MRS. KATHLEEN DIANE TYNDALL (P.A.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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