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

Mrs. Amy L Bornholdt, PA

Individual provider Physician Assistant · NPI 1265422752

Mrs. Amy L Bornholdt, PA is a Physician Assistant in Wichita, Kansas. Qualified in 2005, 21 years ago. Practices with Infectious Disease Consultants, PA, a 23-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
21
Licensed in
KS
In the registry since
2005
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

310 S Hillside St
Wichita, KS 67211-2129
Phone: (316) 264-3505
Fax: (316) 264-0908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2100 N Waldron St Ste 5, Hutchinson, KS 67502-1176 — (620) 728-1498

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-01037 (KS)

Record details

NPI number1265422752
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

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 Infectious Disease Consultants, P.A. — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wichita