ADVANCED PRIMARY CARE CLINIC
NPI 1376314435
Nurse Practitioner - Gerontology in Columbus, KS

Active since January 09, 2024CLIA 17D2303001 · Waiver
120 W PINE ST, COLUMBUS, KS 66725(620) 429-1008(620) 429-3780 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Primary Care Clinic NPPES

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

ADVANCED PRIMARY CARE CLINIC (NPI 1376314435) is a healthcare organization registered as a gerontology in Columbus, Kansas and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Michael Echard, Arnp, as its authorized official.

NPPES Registry Identity

NPI1376314435
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameADVANCED PRIMARY CARE CLINIC INC
Location Address120 W PINE STColumbus, KS 66725-1705
Mailing Address120 W Pine StColumbus, KS 66725-1705 · (620) 429-1008 · Fax (620) 429-3780
Fax(620) 429-3780
Organization SubpartNo
Authorized OfficialMichael EchardArnp · (620) 674-1029
Enumeration DateJanuary 9, 2024
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1376314435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
120 W PINE ST, Columbus, KS 66725

Other Names 1

Doing Business AsAdvanced Primary Care Clinic

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Primary Care Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1104496983
120 W PINE ST
Columbus, KS 66725
(620) 429-1008
✔ PECOS✔ Accepts MedicareSame address

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 17D2303001

Advanced Primary Care Clinic · Columbus, KS
Active · expires Apr 17, 2028
CLIA Number17D2303001
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorMichael R. Echard
Laboratory Phone(620) 429-1008
Laboratory LocationAdvanced Primary Care Clinic120 W Pine St, Columbus, KS 66725
CLIA data matches this NPI record on: Address Name Phone
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 Advanced Primary Care Clinic Inc's NPI number?

The NPI number for Advanced Primary Care Clinic Inc is 1376314435. It was assigned to this organization in the NPPES registry on January 9, 2024. The provider is doing business as Advanced Primary Care Clinic.

Where is Advanced Primary Care Clinic Inc located?

Advanced Primary Care Clinic Inc is located at 120 W Pine St, Columbus, KS 66725. The listed phone number is (620) 429-1008.

What is Advanced Primary Care Clinic Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Advanced Primary Care Clinic Inc enrolled in Medicare?

Yes. Advanced Primary Care Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Primary Care Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advanced Primary Care Clinic Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Primary Care Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2303001) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Primary Care Clinic Inc accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Advanced Primary Care Clinic Inc 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 Primary Care Clinic Inc was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.