Advanced Specialty Associates, Ltd
Advanced Specialty Associates, Ltd is a healthcare organization registered as Facial Plastic Surgery Physician in Baxter, MN, holding Type 2 (organization) NPI 1265583652 since 2007. The authorized official on file is Kurtis Waters, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265583652 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Specialty Associates, Ltd |
| Other name | <Unavail> |
| Practice address | 13359 ISLE DR, SUITE 1, Baxter, MN, 56425 |
| Phone | 2184548888 |
| Fax | 8888357231 |
| Enumeration date | 2007-01-15 |
| Last updated in NPPES | 2023-09-19 |
Authorized official
| Name | Kurtis Waters |
|---|---|
| Title | Director |
| Phone | 2184548888 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207YS0123X | Facial Plastic Surgery Physician | Primary | 37843 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930218200 | Medicaid | MN | — |
| 422K7WA | Other | MN | BLUE CROSS BLUE SHIELD MN |
Copy-ready billing details
Provider: Advanced Specialty Associates, Ltd NPI: 1265583652 Taxonomy: 207YS0123X (Facial Plastic Surgery Physician) Address: 13359 ISLE DR, SUITE 1, Baxter, MN, 56425
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699759647 | Paul Lundstrom | Individual | Dermatology Physician | Baxter, MN |
| 1568440717 | Kurtis Waters | Individual | Otolaryngology Physician | Baxter, MN |
| 1821180712 | Nicole Manecke | Individual | Medical Physician Assistant | Baxter, MN |
| 1720269426 | Dermatology Professionals, PA | Organization | Clinic/Center | Baxter, MN |
| 1316471386 | Ethan Kraft | Individual | Otolaryngology Physician | Baxter, MN |
Verify this record
Cross-check NPI 1265583652 against the authoritative CMS record: view Advanced Specialty Associates, Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Advanced Specialty Associates, Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-19.