Walter Andrew Dean, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15-01003 Issued in 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

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score

84.91 of 100Reported as group

Quality

80.11

Promoting interoperability

97

Improvement activities

40

Cost

72.09

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

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

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

• Kansas Medical Clinic PA

  • MOHS-Micrographic Surgery Physician
  • Topeka, KS
  • NPI 1508877523
  Medicare reassignment Care Compare group
• Kansas Medical Clinic, PA

  • Non-Pharmacy Dispensing Site
  • Topeka, KS
  • NPI 1467825679
  NPD (past)

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

• Shawnee Mission Medical Center Inc

  dba AdventHealth Shawnee Mission

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1154499010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE STE 104",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 LAMAR AVE STE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022655",
            "telephone_number": "913-631-6330",
            "fax_number": "913-631-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "WALTER",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01003",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2006028785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynessa Brea Davis
• Elizabeth A Daze, PT, DPT
• Dccca, Inc
• Dccca, Inc (DCCCA Behavioral Health Mission)
• Kevin Deal, LMT/CST-T
• Lauren Dees-Pedroza, LSCSW
• Lizabeth Louann Dent, RD, LD
• Claire Devolder
• Amber D Dewald, ARNP
• Debora Dias Ferreira, LSCSW

• Medical Physician Assistant in Mission, KS
• Providers in Mission, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.