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: October 25, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Anthony Centlivre reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 clinicians in this Medicare group
Hospitalist
833 PARK EAST BLVD
Lafayette, IN 47905
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Acute Behavioral Health Services PC
  • 34 clinicians in this Medicare group

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

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.

Behavior Technician
201 E RUDISILL BLVD, SUITE 100B
FORT WAYNE, IN 46806
Clinic/Center (Federally Qualified Health Center (FQHC))
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD
FORT WAYNE, IN 46806
Behavior Technician
201 E RUDISILL BLVD, SUITE B100
FORT WAYNE, IN 46806
Technician, Other
201 E RUDISILL BLVD
FORT WAYNE, IN 46806

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.

Which organizations bill Medicare for Anthony Centlivre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Centlivre reassigns Medicare benefits to 2 organizations: Bowen Health Inc (Fort Wayne, IN) and Acute Behavioral Health Services, P.C. (Lafayette, IN). Each 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 Anthony Centlivre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Centlivre accept?

Health plans from CareSource and Cigna Healthcare 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 4 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.