CENTERWELL SENIOR PRIMARY CARE KS PA
NPI 1215757778
Internal Medicine in Wichita, KS
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
Specialties & Licenses 4
Other Names 1
Group Practice 1
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 Ks Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Centerwell Senior Primary Care Ks PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 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 41Source: 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
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, KSFrequently 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.
Is Centerwell Senior Primary Care Ks PA enrolled in Medicare?
Yes. Centerwell Senior Primary Care Ks PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care Ks PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Ks PA. 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 (16), Cardiovascular Disease (Cardiology) (9) and Internal Medicine (9). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Centerwell Senior Primary Care Ks Pa · NPI 1215757778
Internal Medicine organization in Wichita, Kansas. Organization record, active in the CMS NPPES registry since October 10, 2024.
## Identity
- **NPI:** 1215757778 (Entity type: Organization)
- **Enumerated:** October 10, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** CenterWell Senior Primary Care KS PA - E 13th Street (Doing Business As)
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care Ks Pa)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 2402 E 13TH ST N, Wichita, KS 67214-2102
- **Phone:** (316) 867-6444 · **Fax:** (316) 867-6443
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 41 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Cardiovascular Disease (Cardiology) (9), Internal Medicine (9); 1 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1215757778/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1215757778) · Data from the CMS NPPES public registry.