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CENTERWELL SENIOR PRIMARY CARE NV CS PC
NPI 1255263356
Internal Medicine in Henderson, NV

Active since June 02, 2026
2500 ANTHEM VILLAGE DR STE 100, HENDERSON, NV 89052(702) 843-1437(702) 832-5775 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Centerwell Senior Primary Care Nv Cs Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE NV CS PC (NPI 1255263356), doing business as Centerwell Senior Primary Care- Anthem Village, is a healthcare organization registered as an internal medicine in Henderson, Nevada and active in the NPI registry since June 2026. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1255263356
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE NV CS PC
Location Address2500 ANTHEM VILLAGE DR STE 100Henderson, NV 89052-5562
Mailing Address2500 Anthem Village Dr Ste 100Henderson, NV 89052-5562 · (702) 843-1437 · Fax (702) 832-5775
Phone(702) 843-1437
Fax(702) 832-5775
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1255263356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
2500 ANTHEM VILLAGE DR STE 100, Henderson, NV 89052
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Other Names 1

Doing Business AsCenterwell Senior Primary Care- Anthem Village

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

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 Nv Cs Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Centerwell Senior Primary Care Nv Cs PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Christina Henry, D.O
Family Practice
NPI 1629412002
2500 ANTHEM VILLAGE DR STE 100
Henderson, NV 89052
(702) 843-1437
✔ PECOS✔ Accepts MedicareSame address
Tracy Wakefield, MD
Internal Medicine
NPI 1053369827
2875 S NELLIS BLVD STE 3
Las Vegas, NV 89121
(702) 843-2420
✔ PECOS✔ Accepts Medicare11 mi

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

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 Nv Cs PC's NPI number?

The NPI number for Centerwell Senior Primary Care Nv Cs PC is 1255263356. It was assigned to this organization in the NPPES registry on June 2, 2026. The provider is doing business as CenterWell Senior Primary Care- Anthem Village.

Where is Centerwell Senior Primary Care Nv Cs PC located?

Centerwell Senior Primary Care Nv Cs PC is located at 2500 Anthem Village Dr Ste 100, Henderson, NV 89052. The listed phone number is (702) 843-1437.

What is Centerwell Senior Primary Care Nv Cs PC's specialty?

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

Is Centerwell Senior Primary Care Nv Cs PC enrolled in Medicare?

Yes. Centerwell Senior Primary Care Nv Cs PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care Nv Cs PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Centerwell Senior Primary Care Nv Cs PC, in Family Practice and Internal Medicine. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Nv Cs PC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.