MRS. AMY L BORNHOLDT PA
NPI 1265422752
Physician Assistant in Wichita, KS

Q: What is Amy Bornholdt's NPI number?

The NPI number for Amy Bornholdt is 1265422752. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Q: What is Amy Bornholdt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Bornholdt was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment

97.79/100

CMS Quality Rating

310 S HILLSIDE ST, WICHITA, KS 67211(316) 264-3505(316) 264-0908 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Aug 3, 2021, Mar 30, 2021 (3 updates tracked since 2021).

On this page

About Mrs. Amy L Bornholdt Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMY L BORNHOLDT PA (NPI 1265422752) is an individual physician assistant in Wichita, Kansas, licensed in Kansas (15-01037) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Hutchinson Regional Medical Center Inc, and maintains a secondary practice location in Hutchinson.

NPPES Registry Identity

NPI1265422752

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. AMY L BORNHOLDTCredential: PA

Location Address310 S HILLSIDE STWichita, KS 67211-2129

Mailing Address310 S Hillside StWichita, KS 67211-2129 · (316) 264-3505 · Fax (316) 264-0908

Phone(316) 264-3505

Fax(316) 264-0908

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateOctober 26, 2005

Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1265422752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KS · 15-01037

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.

310 S HILLSIDE ST, Wichita, KS 67211

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Secondary Practice Location 1

Location 12100 N Waldron St Ste 5Hutchinson, KS 67502-1176 · Phone (620) 728-1498 · Fax (620) 728-1838

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amy L Bornholdt Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769408905

PECOS Enrollment IDI20051018000424

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

427 services191 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

286 services123 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

246 services180 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

229 services147 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

125 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

46 services44 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hutchinson Regional Medical Center Inc

Acute Care Hospitals · Hutchinson, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170020

Location1701 E 23rd AvenueHutchinson, KS 67502 · Reno County

Emergency services Birthing friendly

Pratt Regional Medical Center

Acute Care Hospitals · Pratt, KS

5/5 CMS rating

OwnershipProprietary

CMS Certification Number170027

Location200 Commodore StPratt, KS 67124 · Pratt County

Emergency services Birthing friendly

University Of Ks Hlth System Great Bend Campus

Acute Care Hospitals · Great Bend, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170191

Location514 Cleveland StreetGreat Bend, KS 67530 · Barton County

Emergency services Birthing friendly

Hospital District #1 Of Rice County

Critical Access Hospitals · Lyons, KS

OwnershipGovernment - Hospital District or Authority

CMS Certification Number171330

Location619 South Clark AvenueLyons, KS 67554 · Rice County

Emergency services Birthing friendly

Clara Barton Hospital

Critical Access Hospitals · Hoisington, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171333

Location250 W 9th StreetHoisington, KS 67544 · Barton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

81.41

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%45 patients

Controlling High Blood Pressure

73%182 patients4/55-star benchmark: 91%

e-Prescribing

99%148 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

95%281 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

95%476 patients4/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 481 patients

Patients screened: 99% · 481 patients

93%89 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

98%189 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 290 patients

Patients totalRate: 1% · 290 patients

1%290 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERRY D PETERIE MD

Internal Medicine (Infectious Disease)