Advanced Primary Care Clinic Inc

Key facts

NPI: 1376314435
Entity type: Organization (NPI type 2)
Primary specialty: Gerontology Nurse Practitioner 363LG0600X
Legal business name: ADVANCED PRIMARY CARE CLINIC INC
Practice address: 120 W Pine St
Columbus, KS 66725-1705
Phone: (620) 429-1008
Fax: (620) 429-3780
NPI assigned: Jan 9, 2024
Organization subpart: No

Authorized official

Name: Michael Echard, NP
Title: Arnp
Phone: (620) 674-1029

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Michael R Echard, NP Nurse Practitioner · Columbus, KS · NPI 1104496983

Medicare reassignment NPD GERONTOLOGY · KS

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
17D2303001	Advanced Primary Care Clinic 120 W Pine St, Columbus, KS 66725	Certificate of waiver	Apr 17, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KS

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20240403003082	KS	Part B Supplier - Clinic/Group Practice	2961840418	Receives reassigned benefits from 1 practitioner Practice locations: Columbus, KS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Clinic/Center	261QP2300X
Gerontology Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LG0600X			Yes

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

Advanced Primary Care Clinic Doing business as

Other providers in Columbus, KS

All providers in Columbus, KS · Gerontology Nurse Practitioner in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2024. 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.

Verify at the official NPI Registry.