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

Emily Jean Kruse, PA-C

Individual provider Physician Assistant · NPI 1295109478

Emily Jean Kruse, PA-C is a Physician Assistant in Wichita, Kansas. Qualified in 2015, 11 years ago. Practices with Dermsd LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Kansas and South Dakota.

Years since qualifying
11
Licensed in
KS, SD
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1900 N Amidon Ave Ste 214
Wichita, KS 67203-2125
Phone: (316) 400-5090
Fax: (316) 235-2499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (KS)
Physician Assistant Taxonomy 363A00000X · Licence 1010 (SD)

Record details

NPI number1295109478
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 25, 2015
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dermsd Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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