CENTERWELL SENIOR PRIMARY CARE KS PA
NPI 1215757778
Internal Medicine in Wichita, KS

Active since October 10, 2024CLIA 17D2271735 · Waiver
2402 E 13TH ST N, WICHITA, KS 67214(316) 867-6444(316) 867-6443 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1215757778), doing business as Centerwell Senior Primary Care Ks Pa - E 13th Street, 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 November 7, 2026 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1215757778
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE KS PA
Location Address2402 E 13TH ST NWichita, KS 67214-2102
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(316) 867-6443
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateOctober 10, 2024
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
NPI 1215757778 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
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
2402 E 13TH ST N, Wichita, KS 67214

Other Names 1

Doing Business AsCenterwell Senior Primary Care Ks Pa - E 13th Street

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

Accepted Insurance

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 17D2271735

Centerwell Senior Primary Care (ks) Pa-E 13th St · Wichita, KS
Active · expires Nov 7, 2026
CLIA Number17D2271735
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorDr Julie Nguyen
Laboratory Phone(316) 867-6444
Laboratory LocationCenterwell Senior Primary Care (ks) Pa-E 13th St2402 E 13th St N, Wichita, KS 67214
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 8

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

Non-Pharmacy Dispensing Site
2402 E 13TH ST N
WICHITA, KS 67214
Family Medicine
2402 E 13TH ST N
WICHITA, KS 67214
Internal Medicine
2402 E 13TH ST N
WICHITA, KS 67214
Family Medicine
2402 E 13TH ST N
WICHITA, KS 67214
Internal Medicine
2402 E 13TH ST N
WICHITA, KS 67214
Nurse Practitioner (Family)
2402 E 13TH ST N
WICHITA, KS 67214
Nurse Practitioner (Family)
2402 E 13TH ST N
WICHITA, KS 67214
Nurse Practitioner (Family)
2402 E 13TH ST N
WICHITA, KS 67214

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 1215757778. 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 - E 13th Street.

Where is Centerwell Senior Primary Care Ks PA located?

Centerwell Senior Primary Care Ks PA is located at 2402 E 13th St N, Wichita, KS 67214. The listed phone number is (316) 867-6444.

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 17D2271735) is associated with this NPI, valid through November 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centerwell Senior Primary Care Ks PA accept?

Health plans from Medica list Centerwell Senior Primary Care Ks PA 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 Centerwell Senior Primary Care Ks PA was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.