CENTRAL OUTREACH WELLNESS CENTER
NPI 1063804136
Internal Medicine in Pittsburgh, PA
About Central Outreach Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL OUTREACH WELLNESS CENTER (NPI 1063804136) is a healthcare organization registered as an internal medicine in Pittsburgh, Pennsylvania and active in the NPI registry since February 2015. The organization holds 8 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Stacy Lane, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Outreach Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
54Medicare enrollment records show 54 clinicians reassign Medicare billing to Central Outreach Wellness Center, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 54Pittsburgh, PA 15212
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 8
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 for Provider-Performed Microscopy Procedures (PPMP) 39D2265139
Central Outreach Wellness Center · Aliquippa, PACertificate for Provider-Performed Microscopy Procedures (PPMP) 39D2265140
Central Outreach Wellness Center · Erie, PACertificate for Provider-Performed Microscopy Procedures (PPMP) 39D2265062
Central Outreach Wellness Center · Washington, PACertificate for Provider-Performed Microscopy Procedures (PPMP) 39D2122124
Central Outreach Wellness Center · Pittsburgh, PACertificate for Provider-Performed Microscopy Procedures (PPMP) 36D2286374
Central Outreach Wellness Center · Columbus, OHCertificate for Provider-Performed Microscopy Procedures (PPMP) 36D2235859
Central Outreach Wellness Center · Cleveland, OHFrequently 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 Central Outreach Wellness Center's NPI number?
The NPI number for Central Outreach Wellness Center is 1063804136. It was assigned to this organization in the NPPES registry on February 26, 2015.
Where is Central Outreach Wellness Center located?
Central Outreach Wellness Center is located at 127 Anderson St, Pittsburgh, PA 15212. The listed phone number is (412) 608-8313.
What is Central Outreach Wellness Center's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Central Outreach Wellness Center enrolled in Medicare?
Yes. Central Outreach Wellness Center is registered in the Medicare PECOS enrollment system.
When is Central Outreach Wellness Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Central Outreach Wellness Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 5 Medicare specialties reassign their Medicare billing to Central Outreach Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (41), Family Practice (8) and Internal Medicine (3). Of these, 16 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Central Outreach Wellness Center hold CLIA laboratory certificates?
Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Central Outreach Wellness Center accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 2 other insurers list Central Outreach Wellness Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Central Outreach Wellness Center was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Central Outreach Wellness Center · NPI 1063804136
Internal Medicine organization in Pittsburgh, Pennsylvania. Organization record, active in the CMS NPPES registry since February 26, 2015.
## Identity
- **NPI:** 1063804136 (Entity type: Organization)
- **Enumerated:** February 26, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Stacy Lane, OWNER
## Practice location
- **Address:** 127 ANDERSON ST, Pittsburgh, PA 15212-5803
- **Phone:** (412) 608-8313 · **Fax:** (412) 920-5861
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Ohio, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 54 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (41), Family Practice (8), Internal Medicine (3); 16 practice at this address and 26 within 10 miles; [full list](https://npiprofile.com/npi/1063804136/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2025
- **CLIA laboratory certificates:** 8 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063804136) · Data from the CMS NPPES public registry.