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CENTERWELL SENIOR PRIMARY CARE KS PA
NPI 1013737576
Internal Medicine in Wichita, KS

Active since October 10, 2024CLIA 17D2292396 · Waiver
961 S GLENDALE ST, WICHITA, KS 67218(316) 618-9555 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2025, Oct 10, 2024 (2 updates tracked since 2024).

About Centerwell Senior Primary Care Ks Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE KS PA (NPI 1013737576), doing business as Centerwell Senior Primary Care (ks) Pa - Parklane, is a healthcare organization registered as an internal medicine in Wichita, Kansas and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Megan Galvan, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1013737576
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE KS PA
Location Address961 S GLENDALE STWichita, KS 67218-3210
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Phone(316) 618-9555
Organization SubpartYes
Authorized OfficialMegan GalvanCredentialing Manager · (305) 500-2000
Enumeration DateOctober 10, 2024
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1013737576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
961 S GLENDALE ST, Wichita, KS 67218
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Other Names 1

Doing Business AsCenterwell Senior Primary Care (ks) Pa - Parklane

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2292396

Centerwell Senior Primary Care (ks) Pa-Parklane · Wichita, KS
Active · expires Oct 24, 2027
CLIA Number17D2292396
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorDr Julie Mguyen
Laboratory Phone(316) 618-9555
Laboratory LocationCenterwell Senior Primary Care (ks) Pa-Parklane961 S Glendale St, Wichita, KS 67218
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIE P LE APRN
Nurse Practitioner (Family)
961 S GLENDALE ST
WICHITA, KS 67218
Sedgwick County (316) 618-9555
DR. JARED LORAN JOHNSON MD
Family Medicine
961 S GLENDALE ST
WICHITA, KS 67218
Sedgwick County (316) 618-9555
DEDICATED PHYSICIANS GROUP OF KANSAS LLC
Non-Pharmacy Dispensing Site
961 S GLENDALE ST
WICHITA, KS 67218
Sedgwick County (316) 618-9555
MRS. CEREASA LEEANN PATTERSON NURSE PRACTITIONER
Nurse Practitioner (Family)
961 S GLENDALE ST
WICHITA, KS 67218
Sedgwick County (316) 618-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Senior Primary Care Ks PA's NPI number?

The NPI number for Centerwell Senior Primary Care Ks PA is 1013737576. It was assigned to this organization in the NPPES registry on October 10, 2024. The provider is doing business as CenterWell Senior Primary Care (KS) PA - Parklane.

Where is Centerwell Senior Primary Care Ks PA located?

Centerwell Senior Primary Care Ks PA is located at 961 S Glendale St, Wichita, KS 67218. The listed phone number is (316) 618-9555.

What is Centerwell Senior Primary Care Ks PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care Ks PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2292396) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Ks PA was last updated on May 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.