AUTUMN RAVEN WHEELER PA-C
NPI 1407650724
Physician Assistant - Medical in Wichita, KS
Active since April 03, 2025
About Autumn Raven Wheeler Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN RAVEN WHEELER PA-C (NPI 1407650724) is an individual medical provider in Wichita, Kansas, licensed in Kansas (15-03146) and active in the NPI registry since April 2025.
NPPES Registry Identity
NPI1407650724
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAUTUMN RAVEN WHEELERCredential: PA-C
Location Address5500 E KELLOGG DRWichita, KS 67218-1607
Mailing Address5500 E Kellogg DrWichita, KS 67218-1607 · (316) 685-2221
Phone(316) 685-2221
Sole ProprietorYes
Enumeration DateApril 3, 2025
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1407650724 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in KS · 15-03146
5500 E KELLOGG DR, Wichita, KS 67218
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.
Psychologist (Cognitive & Behavioral)
5500 E KELLOGG DR, ROBT. J. DOLE VAM & ROC (BH)
WICHITA, KS 67218
WICHITA, KS 67218
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5500 E KELLOGG DR, BH
WICHITA, KS 67218
WICHITA, KS 67218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407650724, enumerated as an "individual" on April 03, 2025.
The provider is located at 5500 E KELLOGG DR WICHITA, KS 67218 and the phone number is (316) 685-2221.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
