GERIATRIC PRIMARY CARE PA
NPI 1073082350
Family Medicine in Raymore, MO

Active since November 16, 2018CLIA 26D2317511 · Waiver
1500 W FOXWOOD DR STE B, RAYMORE, MO 64083(850) 377-0925(888) 779-3217 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 1, 2025, Jun 26, 2025, Dec 27, 2024 and 1 more (4 updates tracked since 2018).

About Geriatric Primary Care Pa NPPES

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

GERIATRIC PRIMARY CARE PA (NPI 1073082350) is a healthcare organization registered as a family medicine in Raymore, Missouri and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Mark Battist, Officer, as its authorized official.

NPPES Registry Identity

NPI1073082350
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGERIATRIC PRIMARY CARE PA
Location Address1500 W FOXWOOD DR STE BRaymore, MO 64083-9372
Mailing Address12120 State Line Rd, Pmb 296Leawood, KS 66209-1254 · (850) 377-0925 · Fax (888) 779-3217
Fax(888) 779-3217
Organization SubpartNo
Authorized OfficialMark BattistOfficer · (850) 377-0925
Enumeration DateNovember 16, 2018
Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1073082350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1500 W FOXWOOD DR STE B, Raymore, MO 64083

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 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)

Geriatric Primary Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Geriatric Primary Care PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner27
Internal Medicine2

Nearest to this location (20)

See all 29
Nurse Practitioner
NPI 1639681372
1500 W FOXWOOD DR STE B
Raymore, MO 64083
(913) 302-7183
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518830165
1500 W FOXWOOD DR STE B
Raymore, MO 64083
(816) 715-0651
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053069468
242 BROADMOOR DR
Raymore, MO 64083
(816) 803-0433
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1922751098
200 SW LEWIS CT
Lees Summit, MO 64081
(816) 529-4211
✔ PECOS7.4 mi
Nurse Practitioner
NPI 1063884708
12120 STATE LINE RD # 296
Leawood, KS 66209
(913) 302-7183
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1003546789
24221 S ROCKHAVEN RD
Peculiar, MO 64078
(816) 308-5877
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1366831828
10977 GRANADA LN SUITE 105
Leawood, KS 66211
(913) 215-5008
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1760871487
10977 GRANADA LN
Leawood, KS 66211
(816) 822-0050
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1801654322
11111 NALL AVE STE 103
Leawood, KS 66211
(913) 302-7183
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1851096556
11111 NALL AVE STE 103
Leawood, KS 66211
(913) 302-7183
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1578556478
8800 STATE LINE RD
Leawood, KS 66206
(913) 383-9099
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1053842047
600 NE MEADOWVIEW DR
Lees Summit, MO 64064
(847) 235-6130
✔ PECOS13 mi
Nurse Practitioner
NPI 1518594787
11400 W 135TH ST
Overland Park, KS 66221
(913) 814-8800
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1235769324
2340 E MEYER BLVD
Kansas City, MO 64132
(816) 276-7100
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1265831994
8501 W 95TH ST
Overland Park, KS 66212
(913) 323-8880
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1093532368
1100 ROCKHURST RD
Kansas City, MO 64110
(785) 214-9820
✔ PECOS16 mi
Nurse Practitioner
NPI 1952134595
2650 SHAWNEE MISSION PKWY
Westwood, KS 66205
(913) 588-1227
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1508201963
16600 W 126TH ST
Olathe, KS 66062
(913) 308-4529
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1043843139
4320 WORNALL RD STE 208
Kansas City, MO 64111
(816) 531-0552
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1477907830
16912 E HART AVE
Independence, MO 64055
(816) 529-1011
✔ PECOS✔ Accepts Medicare18 mi
See all 29 clinicians

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 26D2317511

Geriatric Primary Care, PA · Raymore, MO
Active · expires Jan 26, 2027
CLIA Number26D2317511
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorMark Battist
Laboratory Phone(913) 302-7183
Laboratory LocationGeriatric Primary Care, PA1500 W Foxwood Dr, Suite B, Raymore, MO 64083
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 Geriatric Primary Care PA's NPI number?

The NPI number for Geriatric Primary Care PA is 1073082350. It was assigned to this organization in the NPPES registry on November 16, 2018.

Where is Geriatric Primary Care PA located?

Geriatric Primary Care PA is located at 1500 W Foxwood Dr Ste B, Raymore, MO 64083. The listed phone number is (850) 377-0925.

What is Geriatric Primary Care PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Geriatric Primary Care PA enrolled in Medicare?

Yes. Geriatric Primary Care PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Geriatric Primary Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 2 Medicare specialties reassign their Medicare billing to Geriatric Primary Care PA. 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. The largest specialties are Nurse Practitioner (27) and Internal Medicine (2). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Geriatric Primary Care PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2317511) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Geriatric Primary Care PA accept?

Health plans from Anthem Blue Cross and Blue Shield list Geriatric Primary Care PA 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 Geriatric Primary Care PA was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.