Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colin B Lisenby, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1679922652

Colin B Lisenby, MD is a Family Practice in Wichita, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2016, 10 years ago. Practices with Advanced Orthopaedic Associates, PA, a 47-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
10
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9828 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4100
Phone: (316) 631-1600
Fax: (316) 631-1617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 04-41606 (KS)

Record details

NPI number1679922652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2016
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2016 (10 years in practice)
Group practice Advanced Orthopaedic Associates, P.A. — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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