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MID AMERICA SENIOR MANAGEMENT LLC
NPI 1942356977
Internal Medicine in Tonganoxie, KS

Active since January 25, 2007
21107 DONAHOO RD, TONGANOXIE, KS 66086(913) 742-4084(913) 742-4086 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mid America Senior Management Llc NPPES

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

MID AMERICA SENIOR MANAGEMENT LLC (NPI 1942356977) is a healthcare organization registered as an internal medicine in Tonganoxie, Kansas and active in the NPI registry since January 2007. The organization lists Anna Marie Mathes, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1942356977
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMID AMERICA SENIOR MANAGEMENT LLC
Location Address21107 DONAHOO RDTonganoxie, KS 66086-4153
Mailing AddressPo Box 996Tonganoxie, KS 66086-0996 · (913) 742-4084 · Fax (913) 742-4086
Phone(913) 742-4084
Fax(913) 742-4086
Organization SubpartNo
Authorized OfficialAnna Marie MathesPractice Administrator · (913) 742-4084
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 21, 2011
✔ NPI 1942356977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 04-21601
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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Other Identifiers 4

Medicare PIN110478KS
Medicaid100347530AKS
Medicare PINMA3350MO
Medicare PINMA3349MO

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 Llc 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 Mid America Senior Management LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Roger Bidwell, ARNP
Nurse Practitioner
NPI 1669425385
21107 DONAHOO RD
Tonganoxie, KS 66086
(913) 742-4084
✔ PECOS0.4 mi
Kimberly Buckley, ARNP
Nurse Practitioner
NPI 1265615504
21107 DONAHOO RD
Tonganoxie, KS 66086
(913) 742-4084
✔ PECOS✔ Accepts Medicare0.4 mi
Mark Petersen, MD
Internal Medicine
NPI 1881647543
21107 DONAHOO RD
Tonganoxie, KS 66086
(913) 742-4084
✔ PECOS✔ Accepts Medicare0.4 mi
Nana Asante
Nurse Practitioner
NPI 1932705647
33490 LEXINGTON AVE STE G
De Soto, KS 66018
(913) 586-9863
✔ PECOS✔ Accepts Medicare14 mi
Tracy Alagna, FNP
Nurse Practitioner
NPI 1790060705
6860 W 115TH ST
Overland Park, KS 66211
(913) 253-0600
✔ PECOS✔ Accepts Medicare27 mi
Leslyn Brouillette, NP
Nurse Practitioner
NPI 1386831626
6860 W 115TH ST
Overland Park, KS 66211
(816) 799-4135
✔ PECOS27 mi
Tamra Huntsman, DNP, APRN-C
Nurse Practitioner
NPI 1932512944
6860 W 115TH ST
Overland Park, KS 66211
(913) 701-5656
✔ PECOS27 mi
Joanna Smith
Nurse Practitioner
NPI 1942718358
332 NW 144TH ST
Edmond, OK 73013
(405) 239-0261
✔ PECOS✔ Accepts Medicare279 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 LLC's NPI number?

The NPI number for Mid America Senior Management LLC is 1942356977. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Mid America Senior Management LLC located?

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

What is Mid America Senior Management LLC's specialty?

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

Is Mid America Senior Management LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Mid America Senior Management LLC. 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 Nurse Practitioner (7) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mid America Senior Management LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Mid America Senior Management 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 LLC was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.