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

Individual provider Physician Assistant · NPI 1588704076

Shanna Dawn Suderman, PA-C is a Physician Assistant in Wichita, Kansas. Qualified in 2006, 20 years ago. Practices with Heartland Dermatology and Skin Cancer Center, PA, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
20
Licensed in
KS
In the registry since
2007
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

9300 E 29th St N Ste 310
Wichita, KS 67226-2160
Phone: (316) 612-1833
Fax: (316) 612-2420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1715 Medical Pkwy Ste D-1, Newton, KS 67114-9074 — (316) 612-1833

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-01124 (KS)

Record details

NPI number1588704076
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Heartland Dermatology And Skin Cancer Center, Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Wichita