Amanda Peeples · Amanda Dimitroff · Physician Assistant

3715 N Oliver, Wichita, KS 67220

Overview

Amanda Peeples is a Physician Assistant practicing in Wichita, Kansas. The National Provider Identifier (NPI) is #1942478698, which was assigned on February 15, 2008, and the registration record was last updated on September 13, 2025. The practitioner's main practice location is at 3715 N Oliver, Wichita, KS 67220; the contact telephone number is 3169424519, and the fax number is 3169424655. The primary taxonomy of Amanda Peeples is Physician Assistant (363A00000X). Amanda Peeples is licensed to practice in the state of Colorado (#2571).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1942478698
Entity Type Individual
Provider Name MS. AMANDA PEEPLES
Other Name AMANDA DIMITROFF
(Former Name)
Gender Female
Credential PA
Practice Address 3715 N Oliver
Wichita
KS 67220
Practice Telephone 3169424519
Practice Fax Number 3169424655
Mailing Address 345 N Riverview St Ste 412
Wichita
KS 67203-4202
Mailing Telephone 5512958223
Certification Date 2025-09-13
Enumeration Date 2008-02-15
Last Update Date 2025-09-13
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 1153478268
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name AMANDA M PEEPLES
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name ADVANCED PAIN MEDICINE ASSOCIATES, LLC
Address 929 N Saint Francis St
Wichita
KS 67214-3821

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N363A00000XPhysician Assistant2571CO

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
200635380BKSMEDICAID
003719340KSCMS - MEDICAREOther

Secondary Practice Locations

AddressTelephoneFax
345 N Riverview St Ste 412, Wichita, KS 6720342025512958223
801 E Douglas Ave Fl 2nd, Wichita, KS 6720235155512958223

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Location Information

Street Address 3715 N OLIVER
City WICHITA
State KS
Zip Code 67220
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Alexandria Nicole O'Brien · Alexandria Nepote 3715 N Oliver St, Wichita, KS 67220-3404Family Nurse Practitioner2023-10-31
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.