ADVANCED SPECIALTY ASSOCIATES
NPI 1265583652
Otolaryngology - Facial Plastic Surgery in Baxter, MN
About Advanced Specialty Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED SPECIALTY ASSOCIATES (NPI 1265583652) is a healthcare organization registered as a facial plastic surgery in Baxter, Minnesota and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Mendota Heights and lists Kurtis Allen Waters, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Specialty Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Specialty Associates, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Advanced Specialty Associates, Ltd's NPI number?
The NPI number for Advanced Specialty Associates, Ltd is 1265583652. It was assigned to this organization in the NPPES registry on January 15, 2007. The provider is doing business as Advanced Specialty Associates. The provider was formerly known as Kurtis A Waters MD PA.
Where is Advanced Specialty Associates, Ltd located?
Advanced Specialty Associates, Ltd is located at 13359 Isle Dr Suite 1, Baxter, MN 56425. The listed phone number is (218) 454-8888.
What is Advanced Specialty Associates, Ltd's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.
Is Advanced Specialty Associates, Ltd enrolled in Medicare?
Yes. Advanced Specialty Associates, Ltd is registered in the Medicare PECOS enrollment system.
When is Advanced Specialty Associates, Ltd's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Advanced Specialty Associates, Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Specialty Associates, Ltd. 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 Otolaryngology (3) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Advanced Specialty Associates, Ltd accept?
Health plans from Aspirus Health Plan, HealthPartners and Sanford Health Plan list Advanced Specialty Associates, Ltd 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 Advanced Specialty Associates, Ltd was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Advanced Specialty Associates · NPI 1265583652
Facial Plastic Surgery organization in Baxter, Minnesota. Organization record, active in the CMS NPPES registry since January 15, 2007.
## Identity
- **NPI:** 1265583652 (Entity type: Organization)
- **Enumerated:** January 15, 2007
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **Legal business name:** Advanced Specialty Associates, Ltd
- **Also known as:** Kurtis A Waters MD PA (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Kurtis Waters, DIRECTOR
## Practice location
- **Address:** 13359 ISLE DR, SUITE 1, Baxter, MN 56425-2221
- **Phone:** (218) 454-8888 · **Fax:** (888) 835-7231
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (3), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2023
- **Other identifiers:** Medicaid 930218200 (MN); Other 422K7WA (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1265583652) · Data from the CMS NPPES public registry.