Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle J Stahly, PA-C

Individual provider Physician Assistant · NPI 1104833300

Michelle J Stahly, PA-C is a Physician Assistant in Wichita, Kansas. Qualified in 2005, 21 years ago. Practices with Susan B Allen Memorial Hospital, a 26-clinician group and accepts Medicare assignment. Licensed in Kansas and Nebraska.

Years since qualifying
21
Licensed in
KS, NE
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3311 E Murdock St
Wichita, KS 67208-3054
Phone: (316) 689-9107
Fax: (316) 689-9354
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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 15-01791 (KS)
Physician Assistant Taxonomy 363A00000X · Licence 1239 (NE)

Record details

NPI number1104833300
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESAugust 10, 2015

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 Susan B Allen Memorial Hospital — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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