ANDOVER FAMILY MEDICINE, LLC
NPI 1124067558
Clinic/Center - Primary Care in Andover, KS
About Andover Family Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDOVER FAMILY MEDICINE, LLC (NPI 1124067558) is a healthcare organization registered as a primary care in Andover, Kansas and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 6, 2027 and lists Lindsay Landers, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Andover Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Andover Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
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 Compliance 17D1055247
Andover Family Medicine · Andover, KSFrequently 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 Andover Family Medicine, LLC's NPI number?
The NPI number for Andover Family Medicine, LLC is 1124067558. It was assigned to this organization in the NPPES registry on June 4, 2006.
Where is Andover Family Medicine, LLC located?
Andover Family Medicine, LLC is located at 2117 Keystone Cir, Andover, KS 67002. The listed phone number is (316) 733-5120.
What is Andover Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Andover Family Medicine, LLC enrolled in Medicare?
Yes. Andover Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Andover Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Andover Family Medicine, 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. The largest specialties are Family Practice (6) and Nurse Practitioner (2). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Andover Family Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 17D1055247) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Andover Family Medicine, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Andover Family Medicine, 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 Andover Family Medicine, LLC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Andover Family Medicine, Llc · NPI 1124067558
Primary Care organization in Andover, Kansas. Organization record, active in the CMS NPPES registry since June 4, 2006.
## Identity
- **NPI:** 1124067558 (Entity type: Organization)
- **Enumerated:** June 4, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Lindsay Landers, OWNER/PHYSICIAN
## Practice location
- **Address:** 2117 KEYSTONE CIR, Andover, KS 67002-8749
- **Phone:** (316) 733-5120 · **Fax:** (316) 733-1280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Nurse Practitioner (2); 8 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2025
- **Other identifiers:** Other 1215988282 (KS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124067558) · Data from the CMS NPPES public registry.