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

Mr. Shawn C Vredenburg, PA

Individual provider Physician Assistant · NPI 1194079277

Mr. Shawn C Vredenburg, PA is a Physician Assistant in Wichita, Kansas. Qualified in 2012, 14 years ago. Practices with Decatur Health Systems Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
14
Licensed in
KS
In the registry since
2012
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

3311 E Murdock St
Wichita, KS 67208-3054
Phone: (316) 689-9107
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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 T03473 (KS)

Record details

NPI number1194079277
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 29, 2012
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Decatur Health Systems Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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