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ANTHONY B CENTLIVRE
NPI 1255051231
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since August 31, 2022PECOS EnrolledAccepts Medicare Assignment
201 E RUDISILL BLVD, FORT WAYNE, IN 46806(888) 470-0082 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony B Centlivre NPPES

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

ANTHONY B CENTLIVRE (NPI 1255051231) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71012957A) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255051231
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANTHONY B CENTLIVRE
Location Address201 E RUDISILL BLVDFort Wayne, IN 46806-1738
Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880 · (574) 267-7169
Phone(888) 470-0082
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
✔ NPI 1255051231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71012957A
201 E RUDISILL BLVD, Fort Wayne, IN 46806
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony B Centlivre is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406226216
PECOS Enrollment IDI20230111002317
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

CHELSEY MARIE AVIS HARRIS
Behavior Technician
201 E RUDISILL BLVD, SUITE 100B
FORT WAYNE, IN 46806
Allen County (260) 255-4680
BOWEN HEALTH INC
Clinic/Center (Federally Qualified Health Center (FQHC))
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Allen County (800) 342-5653
NAOMI GUTHRIE
Behavior Technician
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Allen County (260) 255-3665
MADELYN GRACE GARDNER
Behavior Technician
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Allen County (260) 255-3665
JADYN EADER
Behavior Technician
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Allen County (260) 255-3665
HALLE KAY MILLER
Behavior Technician
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Allen County (260) 255-3665
MALLORY NICOLE PELFREY
Behavior Technician
201 E RUDISILL BLVD, SUITE B100
FORT WAYNE, IN 46806
Allen County (260) 553-3665
RYLEE LILLIAN BARNETT
Technician, Other
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Allen County (260) 255-3665

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 Anthony Centlivre's NPI number?

The NPI number for Anthony Centlivre is 1255051231. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Anthony Centlivre located?

Anthony Centlivre practices at 201 E Rudisill Blvd, Fort Wayne, IN 46806. The listed phone number is (888) 470-0082.

What is Anthony Centlivre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Anthony Centlivre enrolled in Medicare?

Yes. Anthony Centlivre is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anthony Centlivre accept?

Health plans from CareSource list Anthony Centlivre 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 Anthony Centlivre was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.