Active NPI
Advanced Primary Care Clinic Inc
Doing business as Advanced Primary Care Clinic
- Gerontology Nurse Practitioner
- Columbus, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- ADVANCED PRIMARY CARE CLINIC INC
- Doing business as
- Advanced Primary Care Clinic
- Practice address
- 120 W Pine St
Columbus, KS 66725-1705 - Phone
- (620) 429-1008
- Fax
- (620) 429-3780
- NPI assigned
- Jan 9, 2024
- Last updated
- Nov 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Echard, NP
- Title
- Arnp
- Phone
- (620) 674-1029
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
120 W Pine St
Columbus, KS 66725-1705
Mailing address
120 W Pine St
Columbus, KS 66725-1705
Phone (620) 429-1008
Other names 1
- Advanced Primary Care Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2303001 | Advanced Primary Care Clinic | Certificate of waiver | Apr 17, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1376314435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W PINE ST",
"city": "COLUMBUS",
"state": "KS",
"postal_code": "667251705",
"telephone_number": "620-429-1008",
"fax_number": "620-429-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W PINE ST",
"city": "COLUMBUS",
"state": "KS",
"postal_code": "667251705",
"telephone_number": "620-429-1008",
"fax_number": "620-429-3780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PRIMARY CARE CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "ECHARD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ARNP",
"authorized_official_telephone_number": "620-674-1029",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Primary Care Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.