Advanced Specialty Associates, Ltd
NPI 1265583652 · Facial Plastic Surgery Physician · Baxter, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Specialty Associates, Ltd is a Facial Plastic Surgery Physician organization in Baxter, MN (NPI 1265583652).
Provider details
- NPI number
- 1265583652
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kurtis Waters, Director(218) 454-8888
- License
- 37843 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Specialty Associates
- Former legal business name
- Kurtis a Waters MD PA
Additional practice locations (1)
- 720 Main St Ste 209Mendota Heights, MN 55118-1800Phone: (612) 464-5239Fax: (651) 414-0565
Registry dates
- Enumerated
- 2007-01-15
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Frequently asked questions
- What is Advanced Specialty Associates, Ltd's NPI number?
- Advanced Specialty Associates, Ltd's National Provider Identifier (NPI) is 1265583652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Specialty Associates, Ltd?
- Advanced Specialty Associates, Ltd is classified in the NPPES registry as Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Specialty Associates, Ltd located?
- Advanced Specialty Associates, Ltd's practice location on file with NPPES is 13359 Isle Dr, Baxter, MN 56425-2221.
- What is Advanced Specialty Associates, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Advanced Specialty Associates, Ltd is (218) 454-8888.
- Does Advanced Specialty Associates, Ltd accept Medicare?
- Advanced Specialty Associates, Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Specialty Associates, Ltd?
- The authorized official listed on Advanced Specialty Associates, Ltd's NPPES record is Kurtis Waters, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Specialty Associates, Ltd's NPI active?
- Yes — Advanced Specialty Associates, Ltd's NPI (1265583652) is active in the NPPES registry as of the last update on 2023-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.