MID AMERICA SENIOR MANAGEMENT ACO LLC
NPI 1326888900
Internal Medicine in Tonganoxie, KS

Q: What is Mid America Senior Management Aco LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 30, 2024

21107 DONAHOO RD, TONGANOXIE, KS 66086(913) 742-4084 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mid America Senior Management Aco Llc NPPES

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

MID AMERICA SENIOR MANAGEMENT ACO LLC (NPI 1326888900) is a healthcare organization registered as an internal medicine in Tonganoxie, Kansas and active in the NPI registry since May 2024. The organization lists Mark Petersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1326888900

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMID AMERICA SENIOR MANAGEMENT ACO LLC

Location Address21107 DONAHOO RDTonganoxie, KS 66086-4153

Mailing Address21107 Donahoo RdTonganoxie, KS 66086-4153 · (913) 742-4084

Phone(913) 742-4084

Organization SubpartNo

Authorized OfficialMark PetersenOwner · (913) 208-6221

Enumeration DateMay 30, 2024

NPPES CertifiedMay 30, 2024

✔ NPI 1326888900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

21107 DONAHOO RD, Tonganoxie, KS 66086

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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)

Mid America Senior Management Aco Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mid America Senior Management Aco LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Mark Petersen, MD

Internal Medicine

NPI 1881647543

21107 DONAHOO RD
Tonganoxie, KS 66086

(913) 742-4084

✔ PECOS✔ Accepts MedicareSame address

Nana Asante

Nurse Practitioner

NPI 1932705647

33490 LEXINGTON AVE STE G
De Soto, KS 66018

(913) 586-9863

✔ PECOS✔ Accepts Medicare13 mi

Tracy Alagna, FNP

Nurse Practitioner

NPI 1790060705

6860 W 115TH ST
Overland Park, KS 66211

(913) 253-0600

✔ PECOS✔ Accepts Medicare27 mi

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 Mid America Senior Management Aco LLC's NPI number?

The NPI number for Mid America Senior Management Aco LLC is 1326888900. It was assigned to this organization in the NPPES registry on May 30, 2024.

Where is Mid America Senior Management Aco LLC located?

Mid America Senior Management Aco LLC is located at 21107 Donahoo Rd, Tonganoxie, KS 66086. The listed phone number is (913) 742-4084.

What is Mid America Senior Management Aco LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mid America Senior Management Aco LLC enrolled in Medicare?

Yes. Mid America Senior Management Aco LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid America Senior Management Aco LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mid America Senior Management Aco LLC, in Internal Medicine and Nurse Practitioner. 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.

What insurance does Mid America Senior Management Aco LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Mid America Senior Management Aco 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 Mid America Senior Management Aco LLC was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.