MID-KANSAS WOUND SPECIALIST P A
NPI 1326076977
Preventive Medicine - Undersea and Hyperbaric Medicine in Wichita, KS
About Mid-kansas Wound Specialist P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID-KANSAS WOUND SPECIALIST P A (NPI 1326076977) is a healthcare organization registered as an undersea and hyperbaric medicine in Wichita, Kansas and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through October 8, 2028, maintains a secondary practice location in Wichita, and lists Justin Gooden, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid-kansas Wound Specialist P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Mid-Kansas Wound Specialist P A, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 17D2289734
Mid Kansas Wound Specialists PA · Wichita, KSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mid-Kansas Wound Specialist P A's NPI number?
The NPI number for Mid-Kansas Wound Specialist P A is 1326076977. It was assigned to this organization in the NPPES registry on June 30, 2006.
Where is Mid-Kansas Wound Specialist P A located?
Mid-Kansas Wound Specialist P A is located at 10346 E Stonegate Ln Ste 100, Wichita, KS 67206. The listed phone number is (316) 910-0024.
What is Mid-Kansas Wound Specialist P A's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.
Is Mid-Kansas Wound Specialist P A enrolled in Medicare?
Yes. Mid-Kansas Wound Specialist P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mid-Kansas Wound Specialist P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Mid-Kansas Wound Specialist P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), General Surgery (2) and Emergency Medicine (1). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mid-Kansas Wound Specialist P A hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 17D2289734) is associated with this NPI, valid through October 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mid-Kansas Wound Specialist P A accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Mid-Kansas Wound Specialist P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mid-Kansas Wound Specialist P A was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mid-Kansas Wound Specialist P A · NPI 1326076977
Undersea and Hyperbaric Medicine organization in Wichita, Kansas. Organization record, active in the CMS NPPES registry since June 30, 2006.
## Identity
- **NPI:** 1326076977 (Entity type: Organization)
- **Enumerated:** June 30, 2006
- **Primary specialty:** Preventive Medicine - Undersea and Hyperbaric Medicine · taxonomy 2083P0011X
- **Organization subpart:** No
- **Authorized official:** Justin Gooden, OWNER
## Practice location
- **Address:** 10346 E STONEGATE LN STE 100, Wichita, KS 67206-2054
- **Phone:** (316) 910-0024 · **Fax:** (316) 910-0023
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), General Surgery (2), Emergency Medicine (1); 2 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2023
- **Other identifiers:** Other CI6093 (KS); Other 110380 (KS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326076977) · Data from the CMS NPPES public registry.