ADVENTHEALTH CENTRA CARE
NPI 1942317854
Clinic/Center - Urgent Care in Shawnee, KS

Active since August 24, 2006CLIA 17D2117425 · Waiver
11245 SHAWNEE MISSION PARKWAY, SHAWNEE, KS 66203(913) 268-4455(913) 268-4493 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2019, Jun 11, 2018, Jan 18, 2017 and 1 more (4 updates tracked since 2016).

About Adventhealth Centra Care NPPES

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

ADVENTHEALTH CENTRA CARE (NPI 1942317854) is a healthcare organization registered as an urgent care in Shawnee, Kansas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 15, 2026 and lists Karsten G Randolph, Exec Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1942317854
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSHAWNEE MISSION MEDICAL CENTER, INC.
Location Address11245 SHAWNEE MISSION PARKWAYShawnee, KS 66203-3333
Mailing Address11245 Shawnee Mission ParkwayShawnee, KS 66203-3333 · (913) 268-4455 · Fax (913) 268-4493
Fax(913) 268-4493
Organization SubpartYes
Authorized OfficialKarsten G RandolphExec Vp & Cfo · (913) 676-2152
Enumeration DateAugust 24, 2006
Last NPPES UpdateNovember 18, 20194 updates tracked since enumeration
NPI 1942317854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
11245 SHAWNEE MISSION PARKWAY, Shawnee, KS 66203

Other Names 1

Doing Business AsAdventhealth Centra Care

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

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 17D2117425

Adventhealth Centra Care Shawnee Mission · Shawnee Mission, KS
Active · expires Aug 15, 2026
CLIA Number17D2117425
Laboratory TypeUrgent Care
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorTimothy Hendrix
Laboratory Phone(913) 268-4455
Laboratory LocationAdventhealth Centra Care Shawnee Mission11245 Shawnee Mission Parkway, Shawnee Mission, KS 66203
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
11245 SHAWNEE MISSION PARKWAY
SHAWNEE, KS 66203

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 Shawnee Mission Medical Center, Inc.'s NPI number?

The NPI number for Shawnee Mission Medical Center, Inc. is 1942317854. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Adventhealth Centra Care.

Where is Shawnee Mission Medical Center, Inc. located?

Shawnee Mission Medical Center, Inc. is located at 11245 Shawnee Mission Parkway, Shawnee, KS 66203. The listed phone number is (913) 268-4455.

What is Shawnee Mission Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Shawnee Mission Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2117425) is associated with this NPI, valid through August 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shawnee Mission Medical Center, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Shawnee Mission Medical Center, 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 Shawnee Mission Medical Center, Inc. was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.