Walter Andrew Dean – Medical Physician Assistant

Key facts

NPI: 1154499010
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: 15-01003 (KS)
Practice address: 5820 Lamar Ave Ste 200
Mission, KS 66202-2655
Phone: (913) 631-6330
Fax: (913) 631-6222
NPI assigned: Nov 30, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Kansas Medical Clinic PA MOHS-Micrographic Surgery Physician · Topeka, KS · NPI 1508877523

Medicare reassignment Care Compare group KS
Kansas Medical Clinic, PA Non-Pharmacy Dispensing Site · Topeka, KS · NPI 1467825679

NPD (past)

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Shawnee Mission Medical Center Inc General Acute Care Hospital · Merriam, KS · NPI 1023171634

Care Compare affiliation Hospital
Shawnee Mission Medical Center Inc Clinical Medical Laboratory · Merriam, KS · NPI 1235792003

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2002
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Kansas Medical Clinic PA (50 clinicians)

Practice addresses (Care Compare)

2200 SW 6TH Ave
Topeka, KS 66606-1707

2200 SW 6TH St
Topeka, KS 66606-1707
Phone (785) 354-8518

Hospital & facility affiliations

Adventhealth Shawnee Mission Hospital · Shawnee Mission, KS · CCN 170104

Merit-based Incentive Payment System (MIPS)

Final score: 84.91 of 100 (group)
Quality: 80.11
Promoting interoperability: 97
Improvement activities: 40
Cost: 72.09

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KS
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20080507000670	KS	Practitioner - Physician Assistant	3375598279	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
2819	AZ	MD	General Practice Dentistry
15-01003	KS	MD	Medical Physician Assistant
2006028785	MO	MD	Medical Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Kansas Medical Clinic, PA		Past since Sep 25, 2022	Accepting new patients

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Medical Physician Assistant	363AM0700X	15-01003	KS	Yes
Medical Physician Assistant	363AM0700X	2006028785	MO

Addresses

Primary practice location

5820 Lamar Ave Ste 200
Mission, KS 66202-2655

Mailing address

2200 SW 6TH Ave Ste 104
Topeka, KS 66606-1707
Phone (785) 354-8518

Other providers in Mission, KS

All providers in Mission, KS · Medical Physician Assistant in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2022. 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.
Order and Referring (CMS).
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.

Verify at the official NPI Registry.