CENTERWELL SENIOR PRIMARY CARE- ANTHEM
NPI 1134908296
Internal Medicine in Henderson, NV

Active since September 27, 2023
2629 W HORIZON RIDGE PKWY STE 140, HENDERSON, NV 89052(702) 444-2023(702) 818-4759 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Centerwell Senior Primary Care- Anthem NPPES

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

CENTERWELL SENIOR PRIMARY CARE- ANTHEM (NPI 1134908296) is a healthcare organization registered as an internal medicine in Henderson, Nevada and active in the NPI registry since September 2023. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1134908296
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NV) PC
Location Address2629 W HORIZON RIDGE PKWY STE 140Henderson, NV 89052-4831
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(702) 818-4759
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 27, 2023
Last NPPES UpdateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1134908296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
2629 W HORIZON RIDGE PKWY STE 140, Henderson, NV 89052

Other Names 1

Doing Business AsCenterwell Senior Primary Care- Anthem

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centerwell Senior Primary Care- Anthem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

84

Medicare enrollment records show 84 clinicians reassign Medicare billing to Centerwell Senior Primary Care- Anthem, which bills Medicare for the services they deliver. Of these, 36 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice31
Nurse Practitioner26
Internal Medicine15
Cardiovascular Disease (Cardiology)11
Cardiac Electrophysiology1

Nearest to this location (20)

See all 84
Nurse Practitioner
NPI 1275169013
2500 ANTHEM VILLAGE DR STE 100
Henderson, NV 89052
(702) 843-1437
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1629412002
2500 ANTHEM VILLAGE DR STE 100
Henderson, NV 89052
(702) 843-1437
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1225008501
1501 W SUNSET RD
Henderson, NV 89014
(725) 269-7001
✔ PECOS✔ Accepts Medicare5.1 mi
Family Practice
NPI 1851041156
2381 E WINDMILL LN STE 14
Las Vegas, NV 89123
(702) 344-2936
✔ PECOS✔ Accepts Medicare5.2 mi
Family Practice
NPI 1780657262
2381 E WINDMILL LN STE 14
Las Vegas, NV 89123
(702) 344-2936
✔ PECOS✔ Accepts Medicare5.2 mi
Family Practice
NPI 1144724766
2381 E WINDMILL LN STE 14
Las Vegas, NV 89123
(702) 344-2936
✔ PECOS✔ Accepts Medicare5.2 mi
Family Practice
NPI 1215193784
2381 E WINDMILL LN STE 14
Las Vegas, NV 89123
(702) 344-2936
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1194133959
2381 E WINDMILL LN STE 14
Las Vegas, NV 89123
(702) 344-2936
✔ PECOS✔ Accepts Medicare5.2 mi
Family Practice
NPI 1679922959
4517 BLUE DIAMOND RD
Las Vegas, NV 89139
(725) 258-2982
✔ PECOS✔ Accepts Medicare6.1 mi
Family Practice
NPI 1174596431
4517 BLUE DIAMOND RD
Las Vegas, NV 89139
(725) 258-2982
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1801309919
390 W LAKE MEAD PKWY STE 120
Henderson, NV 89015
(725) 220-8477
✔ PECOS✔ Accepts Medicare6.4 mi
Internal Medicine
NPI 1982873360
390 W LAKE MEAD PKWY STE 12
Henderson, NV 89015
(725) 220-8477
✔ PECOS✔ Accepts Medicare6.4 mi
Internal Medicine
NPI 1427449297
390 W LAKE MEAD PKWY STE 120
Henderson, NV 89015
(725) 220-8477
✔ PECOS✔ Accepts Medicare6.5 mi
Internal Medicine
NPI 1376235226
3265 E TROPICANA AVE STE B
Las Vegas, NV 89121
(702) 840-2583
✔ PECOS✔ Accepts Medicare6.9 mi
Nurse Practitioner
NPI 1760154264
3265 E TROPICANA AVE STE B
Las Vegas, NV 89121
(702) 840-2583
✔ PECOS✔ Accepts Medicare6.9 mi
Nurse Practitioner
NPI 1265139893
3265 E TROPICANA AVE STE B
Las Vegas, NV 89121
(855) 226-6633
✔ PECOS✔ Accepts Medicare6.9 mi
Nurse Practitioner
NPI 1164902185
6360 BOULDER HWY
Las Vegas, NV 89122
(725) 228-4520
✔ PECOS✔ Accepts Medicare6.9 mi
Internal Medicine
NPI 1619049426
6360 BOULDER HWY
Las Vegas, NV 89122
(725) 228-4520
✔ PECOS✔ Accepts Medicare6.9 mi
Internal Medicine
NPI 1881993343
6360 BOULDER HWY
Las Vegas, NV 89122
(725) 228-4520
✔ PECOS✔ Accepts Medicare6.9 mi
Nurse Practitioner
NPI 1346786498
4813 S EASTERN AVE
Las Vegas, NV 89119
(725) 231-9260
✔ PECOS✔ Accepts Medicare7.0 mi
See all 84 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 (nv) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (nv) PC is 1134908296. It was assigned to this organization in the NPPES registry on September 27, 2023. The provider is doing business as Centerwell Senior Primary Care- Anthem.

Where is Centerwell Senior Primary Care (nv) PC located?

Centerwell Senior Primary Care (nv) PC is located at 2629 W Horizon Ridge Pkwy Ste 140, Henderson, NV 89052. The listed phone number is (702) 444-2023.

What is Centerwell Senior Primary Care (nv) PC's specialty?

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

Is Centerwell Senior Primary Care (nv) PC enrolled in Medicare?

Yes. Centerwell Senior Primary Care (nv) PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care (nv) PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 84 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care (nv) PC. 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 Family Practice (31), Nurse Practitioner (26) and Internal Medicine (15). Of these, 36 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (nv) PC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.