Provider Demographics
NPI:1154417186
Name:WESSEL, SHERI A (PA-C)
Entity type:Individual
Prefix:MS
First Name:SHERI
Middle Name:A
Last Name:WESSEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SHERI
Other - Middle Name:A
Other - Last Name:RUMBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1600 COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:KS
Mailing Address - Zip Code:66538-9739
Mailing Address - Country:US
Mailing Address - Phone:785-336-6107
Mailing Address - Fax:785-336-0157
Practice Address - Street 1:1600 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:KS
Practice Address - Zip Code:66538-9739
Practice Address - Country:US
Practice Address - Phone:785-336-6107
Practice Address - Fax:785-336-0157
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1500451363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100343540AMedicaid
KS044424Medicare Oscar/Certification
KS100343540AMedicaid