AMANDA BAXA (MD) – Family Medicine Physician, NPI 1366703100

AMANDA BAXA (MD) is a healthcare provider. based in Wichita, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 9407877 (KS). The NPI Number for AMANDA BAXA (MD) is 1366703100

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA BAXA (MD)
NPI
1366703100
Phone
(316) 268-5000
Address
1010 N. KANSAS
Enumeration Date
7 June 2012
Last Update Date
7 June 2012

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6203822177
Graduation Year
2012 (14 years ago)
PAC ID
5597918151
Group Practice PAC ID
7517923196
Professional Enrollment ID
I20151105002549
Address ID
KS668611256MA535XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for AMANDA BAXA (MD)

  • 1010 N. KANSAS

    WCGME

    WICHITA, KS 67214

    Phone: (316) 268-5000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $333.

Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Novo Nordisk Inc ($49).

Total Amount

$333

General + Research + Ownership

Payments

20

Total payment records

General Amount

$333

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2015-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (923 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20151105002549IFamily PracticeKS2023-11-30

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.

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: 7517923196View full group profile
NameSpecialtyState
Nurse PractitionerKS
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS
-FL
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS
-KS

Reviews

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Frequently asked questions

How do I look up AMANDA BAXA (MD) by NPI?
Use NPI 1366703100 when you need to reference AMANDA BAXA (MD) in forms, claims, or directories.
Is AMANDA BAXA (MD) currently active in the NPI registry?
CMS-published data lists AMANDA BAXA (MD) as an active registrant.
What field does AMANDA BAXA (MD) work in?
You can think of AMANDA BAXA (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for AMANDA BAXA (MD)?
We surface Wichita, Kansas for AMANDA BAXA (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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