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

Individual provider Surgical Physician Assistant · NPI 1114950706

Jerrod A. Conkling, PA is a Physician Assistant in Wichita, Kansas. Qualified in 2005, 21 years ago. Practices with Wichita Diabetes and Endocrinology LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
21
Licensed in
KS
In the registry since
2006
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

3223 N Webb Rd Ste 1
Wichita, KS 67226-8175
Phone: (316) 609-2600
Fax: (316) 609-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 15-01039 (KS)

Record details

NPI number1114950706
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESJanuary 21, 2015
Mailing address3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Wichita Diabetes And Endocrinology Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita