Spectrum Family Medical Clinic, PA
NPI 1912963067 · Family Medicine Physician · Wichita, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spectrum Family Medical Clinic, PA is a Family Medicine Physician organization in Wichita, KS (NPI 1912963067).
Provider details
- NPI number
- 1912963067
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phaedra Mann, Office Manager(316) 462-0460
- License
- 0422366 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2017-10-05
Frequently asked questions
- What is Spectrum Family Medical Clinic, PA's NPI number?
- Spectrum Family Medical Clinic, PA's National Provider Identifier (NPI) is 1912963067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spectrum Family Medical Clinic, PA?
- Spectrum Family Medical Clinic, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Spectrum Family Medical Clinic, PA located?
- Spectrum Family Medical Clinic, PA's practice location on file with NPPES is 2020 N Tyler, Wichita, KS 67212-4916.
- What is Spectrum Family Medical Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Spectrum Family Medical Clinic, PA is (316) 462-0460.
- Does Spectrum Family Medical Clinic, PA accept Medicare?
- Spectrum Family Medical Clinic, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spectrum Family Medical Clinic, PA?
- The authorized official listed on Spectrum Family Medical Clinic, PA's NPPES record is Phaedra Mann, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spectrum Family Medical Clinic, PA's NPI active?
- Yes — Spectrum Family Medical Clinic, PA's NPI (1912963067) is active in the NPPES registry as of the last update on 2017-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.