Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PCASC, LLC
NPI 1013890813
Clinic/Center - Ambulatory Surgical in Platte City, MO

Q: What is Pcasc, LLC's NPI number?

The NPI number for Pcasc, LLC is 1013890813. It was assigned to this organization in the NPPES registry on July 29, 2025. The provider is doing business as Surgery Center of the Northland.

Q: What is Pcasc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Q: When was this NPI record last updated?

The NPPES record for Pcasc, LLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 29, 2025CLIA 26D2339675 · Waiver

1101 KENTUCKY AVE, PLATTE CITY, MO 64079(816) 422-5980(816) 422-5979 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Pcasc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PCASC, LLC (NPI 1013890813), doing business as Surgery Center Of The Northland, is a healthcare organization registered as an ambulatory surgical in Platte City, Missouri and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Blake E Peterson, Board Chair, as its authorized official.

NPPES Registry Identity

NPI1013890813

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePCASC, LLC

Location Address1101 KENTUCKY AVEPlatte City, MO 64079-7720

Mailing Address1101 Kentucky AvePlatte City, MO 64079-7720 · (816) 422-5980 · Fax (816) 422-5979

Phone(816) 422-5980

Fax(816) 422-5979

Organization SubpartNo

Authorized OfficialBlake E PetersonBoard Chair · (816) 422-5980

Enumeration DateJuly 29, 2025

Last NPPES UpdateOctober 19, 2026

NPPES CertifiedOctober 19, 2026

✔ NPI 1013890813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1101 KENTUCKY AVE, Platte City, MO 64079

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Other Names 1

Doing Business AsSurgery Center Of The Northland

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2339675

Pcasc, LLC Dba Surgery Center Of The Northland · Platte City, MO

Active · expires Mar 4, 2028

CLIA Number26D2339675

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 5, 2026

Certificate Expiration DateMarch 4, 2028

Laboratory DirectorBlake E. Peterson

Laboratory Phone(816) 422-5980

Laboratory LocationPcasc, LLC Dba Surgery Center Of The Northland1101 Kentucky Ave, Platte City, MO 64079

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pcasc, LLC's NPI number?

The NPI number for Pcasc, LLC is 1013890813. It was assigned to this organization in the NPPES registry on July 29, 2025. The provider is doing business as Surgery Center of the Northland.

Where is Pcasc, LLC located?

Pcasc, LLC is located at 1101 Kentucky Ave, Platte City, MO 64079. The listed phone number is (816) 422-5980.

What is Pcasc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Pcasc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2339675) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pcasc, LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Pcasc, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pcasc, LLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.