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INDEPENDENCE WOMENS CLINIC PC
NPI 1427828102
Obstetrics & Gynecology in Independence, MO

Active since January 04, 2024
19550 E 39TH ST S STE 300, INDEPENDENCE, MO 64057(816) 478-0220 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Jan 4, 2024 (2 updates tracked since 2024).

About Independence Womens Clinic Pc NPPES

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

INDEPENDENCE WOMENS CLINIC PC (NPI 1427828102) is a healthcare organization registered as an obstetrics & gynecology in Independence, Missouri and active in the NPI registry since January 2024. The organization lists Timothy Hall, President, as its authorized official.

NPPES Registry Identity

NPI1427828102
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameINDEPENDENCE WOMENS CLINIC PC
Location Address19550 E 39TH ST S STE 300Independence, MO 64057-2306
Mailing Address19550 E 39th St S Ste 300Independence, MO 64057-2306 · (816) 478-0220
Phone(816) 478-0220
Organization SubpartNo
Authorized OfficialTimothy HallPresident · (816) 478-0220
Enumeration DateJanuary 4, 2024
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1427828102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
19550 E 39TH ST S STE 300, Independence, MO 64057
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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 Anthem Blue Cross and Blue Shield.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)

Independence Womens Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Independence Womens Clinic PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Alisa Ash, M.D.
Obstetrics/Gynecology
NPI 1346441342
19550 E 39TH ST S SUITE 300
Independence, MO 64057
(816) 478-0220
✔ PECOS✔ Accepts MedicareSame address
Timothy Hall, M.D.
Obstetrics/Gynecology
NPI 1114921061
19550 E 39TH ST S STE 300
Independence, MO 64057
(816) 478-0220
✔ PECOS✔ Accepts MedicareSame address
Emily Martinez, CNM
Certified Nurse Midwife (CNM)
NPI 1962078725
19550 E 39TH ST S STE 300
Independence, MO 64057
(816) 478-0220
✔ PECOS✔ Accepts MedicareSame address
Lyda Pung, D.O.
Obstetrics/Gynecology
NPI 1518385046
19550 E. 39TH ST STE 300
Independence, MO 64057
(816) 478-0220
✔ PECOS✔ Accepts MedicareSame address
Clayton Southern, MD
Obstetrics/Gynecology
NPI 1447818687
19550 E 39TH ST S STE 300
Independence, MO 64057
(816) 478-0220
✔ PECOS✔ Accepts MedicareSame address
Kiersten Moreno, M.D.
Obstetrics/Gynecology
NPI 1114281730
19500 E 39TH STREET SUITE 300
Independence, MO 64057
(816) 478-0220
✔ PECOS✔ Accepts Medicare0.1 mi
Amanda Sundling, D.O.
Obstetrics/Gynecology
NPI 1760801666
5844 NW BARRY RD STE 310
Kansas City, MO 64154
(816) 880-1025
✔ PECOS✔ Accepts Medicare21 mi
Robert Caffrey, M.D.
Obstetrics/Gynecology
NPI 1548264401
1026 MAIN ST
Lexington, MO 64067
(660) 259-2216
✔ 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 Independence Womens Clinic PC's NPI number?

The NPI number for Independence Womens Clinic PC is 1427828102. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Independence Womens Clinic PC located?

Independence Womens Clinic PC is located at 19550 E 39th St S Ste 300, Independence, MO 64057. The listed phone number is (816) 478-0220.

What is Independence Womens Clinic PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Independence Womens Clinic PC enrolled in Medicare?

Yes. Independence Womens Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Independence Womens Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Independence Womens Clinic PC. 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 Obstetrics/Gynecology (7) and Certified Nurse Midwife (CNM) (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Independence Womens Clinic PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Independence Womens Clinic PC 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 Independence Womens Clinic PC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.