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INDEPENDENCE PEDIATRICS, P.C. INC.
NPI 1962532283
Specialist in Independence, MO

Active since March 06, 2007CLIA 26D0901843 · Waiver
4731 S COCHISE DR STE 100, INDEPENDENCE, MO 64055(816) 373-1111(816) 373-9222 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Independence Pediatrics, P.c. Inc. NPPES

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

INDEPENDENCE PEDIATRICS, P.C. INC. (NPI 1962532283) is a healthcare organization registered as a specialist in Independence, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 3, 2026, maintains a secondary practice location in Lees Summit, and lists Weldon Lee Harris, Primary Care Physician, as its authorized official.

NPPES Registry Identity

NPI1962532283
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINDEPENDENCE PEDIATRICS, P.C. INC.
Location Address4731 S COCHISE DR STE 100Independence, MO 64055-6975
Mailing Address4731 S Cochise Dr Ste 100Independence, MO 64055-6975 · (816) 373-1111 · Fax (816) 373-9222
Phone(816) 373-1111
Fax(816) 373-9222
Organization SubpartNo
Authorized OfficialWeldon Lee HarrisPrimary Care Physician · (816) 373-1111
Enumeration DateMarch 6, 2007
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1962532283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · 35496
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4731 S COCHISE DR STE 100, Independence, MO 64055
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Secondary Practice Location 1

Location 12 NE Sycamore StLees Summit, MO 64086-9578 · Phone (816) 373-1111 · Fax (816) 373-9222

Other Identifiers 2

MedicaidJ61A008MO
MedicaidJ619948MO

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 26D0901843

Independence Pediatrics · Independence, MO
Active · expires Oct 3, 2026
CLIA Number26D0901843
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorSheela Ananth
Laboratory Phone(816) 373-1111
Laboratory LocationIndependence Pediatrics4731 S Cochise Dr, Suite 100, Independence, MO 64055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

TAMATHA MARIE ALEXANDER APRN
Nurse Practitioner (Pediatrics)
4731 S COCHISE DR STE 100
INDEPENDENCE, MO 64055
Jackson County (816) 373-1111
RACHELLE BUESCHER CPNP
Nurse Practitioner (Pediatrics)
4731 S COCHISE DR STE 100
INDEPENDENCE, MO 64055
Jackson County (816) 373-1111
SHAUNI MARIE LAWRENCE CPNP
Nurse Practitioner (Pediatrics)
4731 S COCHISE DR STE 100
INDEPENDENCE, MO 64055
Jackson County (816) 373-1111

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 Pediatrics, P.C. Inc.'s NPI number?

The NPI number for Independence Pediatrics, P.C. Inc. is 1962532283. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Independence Pediatrics, P.C. Inc. located?

Independence Pediatrics, P.C. Inc. is located at 4731 S Cochise Dr Ste 100, Independence, MO 64055. The listed phone number is (816) 373-1111.

What is Independence Pediatrics, P.C. Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Independence Pediatrics, P.C. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0901843) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Independence Pediatrics, P.C. Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Independence Pediatrics, P.C. 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 Independence Pediatrics, P.C. Inc. was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.