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ADVANCED UROLOGIC ASSOCIATES, INC
NPI 1801389267
Urology in Independence, MO

Active since June 11, 2018CLIA 26D0442571 · Microscopy
19001 E 48TH ST S, INDEPENDENCE, MO 64055(816) 502-8782 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2020, Sep 25, 2019, Jun 11, 2018 (3 updates tracked since 2018).

About Advanced Urologic Associates, Inc NPPES

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

ADVANCED UROLOGIC ASSOCIATES, INC (NPI 1801389267) is a healthcare organization registered as an urology in Independence, Missouri and active in the NPI registry since June 2018. The organization holds a CLIA Microscopy certificate valid through November 30, 2026 and lists Karen Rawert, Manager, Payor Enrollment, as its authorized official.

NPPES Registry Identity

NPI1801389267
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameADVANCED UROLOGIC ASSOCIATES, INC
Location Address19001 E 48TH ST SIndependence, MO 64055-6964
Mailing Address901 E 104th StKansas City, MO 64131-4517 · (816) 502-8782
Phone(816) 502-8782
Organization SubpartYesParent: Saint Luke's Health System Inc.
Authorized OfficialKaren RawertManager, Payor Enrollment · (816) 502-8782
Enumeration DateJune 11, 2018
Last NPPES UpdateJanuary 23, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1801389267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedNurse PractitionerTaxonomy 363L00000X
19001 E 48TH ST S, Independence, MO 64055
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Advanced Urologic Associates, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Advanced Urologic Associates, Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Urology11
Nurse Practitioner4

Clinicians, nearest first (15)

Rachel Koehler, APRN
Nurse Practitioner
NPI 1255027991
19001 E 48TH ST S
Independence, MO 64055
(816) 251-5100
✔ PECOS✔ Accepts MedicareSame address
Ryan Miller, M.D.
Urology
NPI 1205035284
19001 E 48TH ST. S
Independence, MO 64055
(314) 520-2291
✔ PECOS✔ Accepts MedicareSame address
David Lewing, M.D.
Urology
NPI 1972553378
19001 E 48TH ST S
Independence, MO 64055
(816) 836-8831
✔ PECOS✔ Accepts MedicareSame address
James Mcintosh, M.D.
Urology
NPI 1083738116
19001 E 48TH ST S
Independence, MO 64055
(816) 836-8831
✔ PECOS✔ Accepts MedicareSame address
John Moore, M.D.
Urology
NPI 1114977550
19001 E 48TH ST S
Independence, MO 64055
(816) 836-8831
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Piontek, M.D.
Urology
NPI 1891992228
19001 E 48TH ST S
Independence, MO 64055
(816) 836-8831
✔ PECOS✔ Accepts MedicareSame address
Bradley Stanley, M.D.
Urology
NPI 1649220088
19001 E 48TH ST S
Independence, MO 64055
(816) 836-8831
✔ PECOS✔ Accepts MedicareSame address
William Wilson, M.D.
Urology
NPI 1932158300
19001 E 48TH ST S
Independece, MO 64055
(816) 251-5100
✔ PECOS✔ Accepts MedicareSame address
Daniel Ensley, MD
Urology
NPI 1720425424
19001 E 48TH ST S
Independence, MO 64055
(816) 251-5100
✔ PECOS✔ Accepts MedicareSame address
Nicole Valdivia, NP
Nurse Practitioner
NPI 1346595907
2700 CLAY EDWARDS DR SUITE 300
N Kansas City, MO 64116
(816) 842-0171
✔ PECOS✔ Accepts Medicare13 mi
Derek Jensen, M.D.
Urology
NPI 1982067526
3901 RAINBOW BLVD
Kansas City, KS 66160
(913) 588-6105
✔ PECOS✔ Accepts Medicare14 mi
Holly Vassmer, FNP
Nurse Practitioner
NPI 1487477444
1914 SWIFT AVE
North Kansas City, MO 64116
(866) 389-2727
✔ PECOS✔ Accepts Medicare14 mi
Callie Kufahl, FNP
Nurse Practitioner
NPI 1093472797
5330 NW 64TH ST
Kansas City, MO 64151
(816) 691-3065
✔ PECOS✔ Accepts Medicare20 mi
Eric Deroo, MD
Urology
NPI 1922395938
10550 QUIVIRA RD STE 105
Overland Park, KS 66215
(913) 438-3833
✔ PECOS✔ Accepts Medicare21 mi
Margaret Higgins, M.D.
Urology
NPI 1811359250
12605 E 16TH AVE
Aurora, CO 80045
(303) 724-2712
✔ PECOS✔ Accepts Medicare563 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 26D0442571

Advanced Urologic Associates · Independence, MO
Active · expires Nov 30, 2026
CLIA Number26D0442571
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorBrad K. Stanley
Laboratory Phone(816) 251-5100
Laboratory LocationAdvanced Urologic Associates19001 E 48th Street South, Independence, MO 64055
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Urologic Associates, Inc's NPI number?

The NPI number for Advanced Urologic Associates, Inc is 1801389267. It was assigned to this organization in the NPPES registry on June 11, 2018.

Where is Advanced Urologic Associates, Inc located?

Advanced Urologic Associates, Inc is located at 19001 E 48th St S, Independence, MO 64055. The listed phone number is (816) 502-8782.

What is Advanced Urologic Associates, Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Advanced Urologic Associates, Inc enrolled in Medicare?

Yes. Advanced Urologic Associates, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Urologic Associates, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Urologic Associates, 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. The largest specialties are Urology (11) and Nurse Practitioner (4). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Urologic Associates, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0442571) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Urologic Associates, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Advanced Urologic Associates, 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 Urologic Associates, Inc was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.