CENTERWELL SENIOR PRIMARY CARE (NV) PC
NPI 1154944544
Internal Medicine in Henderson, NV

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

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

Active since May 20, 2020CLIA 29D2219025 · Waiver

390 W LAKE MEAD PKWY STE 120, HENDERSON, NV 89015(725) 220-8477(833) 749-0360 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, Oct 20, 2022, Apr 9, 2021 and 4 more (7 updates tracked since 2020).

On this page

About Centerwell Senior Primary Care (nv) Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE (NV) PC (NPI 1154944544), doing business as Partners In Primary Care Nv Pc, is a healthcare organization registered as an internal medicine in Henderson, Nevada and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1154944544

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NV) PC

Location Address390 W LAKE MEAD PKWY STE 120Henderson, NV 89015-7417

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000

Phone(725) 220-8477

Fax(833) 749-0360

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateMay 20, 2020

Last NPPES UpdateJuly 3, 20247 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1154944544 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 ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedGeneral PracticeTaxonomy 208D00000X

390 W LAKE MEAD PKWY STE 120, Henderson, NV 89015

Open in Google Maps ↗

Other Names 4

Former Legal Business NamePartners In Primary Care Nv Pc

Doing Business AsCenterwell Senior Primary Care -henderson

Doing Business AsPartners In Primary Care - Henderson

Former Legal Business NamePartners In Primary Care- Henderson

Other Identifiers 1

Medicaid250009775NV

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 29D2219025

Centerwell Senior Primary Care-Henderson · Henderson, NV

Active · expires Mar 31, 2027

CLIA Number29D2219025

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2025

Certificate Expiration DateMarch 31, 2027

Laboratory DirectorTracy Wakefield

Laboratory Phone(725) 220-8477

Laboratory LocationCenterwell Senior Primary Care-Henderson390 W Lake Mead Pkwy Ste 120, Henderson, NV 89015

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 9

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

STEPHANIE VELASQUEZ MD

Family Medicine