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

Individual provider Physician Assistant · NPI 1578776001

Jennifer E Edison, PA is a Physician Assistant in Wichita, Kansas. Qualified in 1992, 34 years ago. Practices with Williams Medical Group Practice, LLC, a 207-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
34
Licensed in
KS
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4722 W Kellogg Dr
Wichita, KS 67209-2508
Phone: (316) 440-2565
Fax: (316) 440-2750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-00365 (KS)

Record details

NPI number1578776001
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Williams Medical Group Practice, Llc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Wichita