Andover Family Medicine, LLC
Organization Active NPI Primary Care Clinic/Center · Andover, KS
NPI 1124067558 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1124067558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- ANDOVER FAMILY MEDICINE, LLC
- Practice address
- 2117 Keystone Cir
Andover, KS 67002-8749 - Phone
- (316) 733-5120
- Fax
- (316) 733-1280
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Lindsay Landers, DO
- Title
- Owner/Physician
- Phone
- (316) 733-5120
Practitioners 14
-
Mitzi M Bales, MD
-
Jennifer Cheng, DO
-
Micah Hall, MD
-
Julie Marie Hayes, DNP, APRN, FNP-C
-
Lindsay Marie Landers, D.O.
-
Matthew G Meschke, D.O.
-
Elizabeth D Taggart, APRN
-
Paula A. Worley, M.D.
-
Rachel Ann Ewing, PA-C
-
Charles S Landers, PA-C
-
Marisa Reese, PA-C
-
Emily N Regehr, PA
-
Dauice Wes Turner, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D1055247 | Andover Family Medicine | Compliance | Mar 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060726000283 | KS | Part B Supplier - Clinic/Group Practice | 7012920663 |
Receives reassigned benefits from 13 practitioners Practice locations: Andover, KS |
National Provider Directory
Locations
2117 Keystone Cir
Andover, KS 67002
Phone (316) 247-5430
105 S Andover Rd
Ste D
Andover, KS 67002
Phone (316) 733-5120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | KS | Yes |
Addresses
Primary practice location
2117 Keystone Cir
Andover, KS 67002-8749
Mailing address
2117 Keystone Cir
Andover, KS 67002-8749
Phone (316) 733-5120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215988282 | Other | KS | NPI |
Other providers in Andover, KS
- Kevin Dean Allen
- Stephen P. Amos
- Andover Ambulatory Surgery Center, LLC
- Andover Chiropractic Center, Inc.
- Andover Family Counseling, LLC
- Andover KS Opco LLC
- Andover Medical Investors, LLC
- Andover Senior Care, LLC
- Andover Senior Care, LLC
- Andover Usd 385
All providers in Andover, KS · Primary Care Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.