INNOVATIVE INFUSIONS, LLC
NPI 1053034983
Clinic/Center - Infusion Therapy in Independence, MO

Active since September 26, 2022CLIA 26D2280738 · Waiver
20120 E JACKSON DR STE C, INDEPENDENCE, MO 64057(816) 756-2791 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2026, Nov 12, 2024, Sep 26, 2022 (3 updates tracked since 2022).

About Innovative Infusions, Llc NPPES

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

INNOVATIVE INFUSIONS, LLC (NPI 1053034983), doing business as Paragon Infusion Centers, is a healthcare organization registered as an infusion therapy in Independence, Missouri and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Nicholas Maroulis, Vice President, as its authorized official.

NPPES Registry Identity

NPI1053034983
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameINNOVATIVE INFUSIONS, LLC
Location Address20120 E JACKSON DR STE CIndependence, MO 64057-1690
Mailing Address3033 W President George Bush Hwy Ste 100bPlano, TX 75075-5885 · (972) 588-1000
Organization SubpartYes
Authorized OfficialNicholas MaroulisVice President · (689) 263-5021
Enumeration DateSeptember 26, 2022
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1053034983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedNurse PractitionerTaxonomy 363L00000X
20120 E JACKSON DR STE C, Independence, MO 64057

Other Names 1

Doing Business AsParagon Infusion Centers

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Infusions, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Innovative Infusions, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1962167858
20120 E JACKSON DR STE C
Independence, MO 64057
(816) 759-2791
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770193161
1306 PLATTE FALLS RD STE C
Platte City, MO 64079
(816) 431-2150
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1023715059
5325 FARAON ST
Saint Joseph, MO 64506
(816) 271-6122
✔ PECOS✔ Accepts Medicare55 mi
Nurse Practitioner
NPI 1225331432
1551 WALL ST STE 300
Saint Charles, MO 63303
(888) 777-1945
✔ PECOS207 mi
Nurse Practitioner
NPI 1407254410
615 S NEW BALLAS RD
Saint Louis, MO 63141
(844) 735-4710
✔ PECOS✔ Accepts Medicare212 mi
Nurse Practitioner
NPI 1467803049
325 SPRING ST
Red Bun, IL 62278
(618) 282-3831
✔ PECOS✔ Accepts Medicare242 mi
Nurse Practitioner
NPI 1174942668
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
(615) 322-5000
✔ PECOS✔ Accepts Medicare459 mi
Nurse Practitioner
NPI 1447980842
708 MAIN ST FL 10
Houston, TX 77002
(855) 212-2273
✔ PECOS643 mi
Nurse Practitioner
NPI 1093759532
5979 BABCOCK RD
San Antonio, TX 78240
(210) 690-5700
✔ PECOS✔ Accepts Medicare699 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 26D2280738

Innovative Infusion LLC · Independence, MO
Active · expires Apr 24, 2027
CLIA Number26D2280738
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorStephanie Krasucki
Laboratory Phone(816) 759-2791
Laboratory LocationInnovative Infusion LLC20120 East Jackson Dr, Ste C, Independence, MO 64057
CLIA data matches this NPI record on: Address Name
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 Innovative Infusions, LLC's NPI number?

The NPI number for Innovative Infusions, LLC is 1053034983. It was assigned to this organization in the NPPES registry on September 26, 2022. The provider is doing business as Paragon Infusion Centers.

Where is Innovative Infusions, LLC located?

Innovative Infusions, LLC is located at 20120 E Jackson Dr Ste C, Independence, MO 64057. The listed phone number is (816) 756-2791.

What is Innovative Infusions, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Is Innovative Infusions, LLC enrolled in Medicare?

Yes. Innovative Infusions, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Infusions, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Innovative Infusions, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovative Infusions, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2280738) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovative Infusions, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Innovative Infusions, 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 Innovative Infusions, LLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.