CENTERWELL SENIOR PRIMARY CARE-SLIDELL
NPI 1285200048
Internal Medicine in Slidell, LA
About Centerwell Senior Primary Care-slidell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE-SLIDELL (NPI 1285200048) is a healthcare organization registered as an internal medicine in Slidell, Louisiana and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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-slidell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
55Medicare enrollment records show 55 clinicians reassign Medicare billing to Centerwell Senior Primary Care-Slidell, which bills Medicare for the services they deliver. Of these, 5 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 55Source: 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 19D2253613
Centerwell Senior Primary Care - Slidell · Slidell, LAFrequently 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 (la) PC's NPI number?
The NPI number for Centerwell Senior Primary Care (la) PC is 1285200048. It was assigned to this organization in the NPPES registry on June 2, 2021. The provider is doing business as Centerwell Senior Primary Care-Slidell.
Where is Centerwell Senior Primary Care (la) PC located?
Centerwell Senior Primary Care (la) PC is located at 1300 Gause Blvd Ste C4, Slidell, LA 70458. The listed phone number is (985) 288-6419.
What is Centerwell Senior Primary Care (la) PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care (la) PC enrolled in Medicare?
Yes. Centerwell Senior Primary Care (la) PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care (la) PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care (la) PC. 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 (22), Internal Medicine (12) and Cardiovascular Disease (Cardiology) (10). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerwell Senior Primary Care (la) PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2253613) is associated with this NPI, valid through February 22, 2028. 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 (la) PC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Centerwell Senior Primary Care-Slidell · NPI 1285200048
Internal Medicine organization in Slidell, Louisiana. Organization record, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1285200048 (Entity type: Organization)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Centerwell Senior Primary Care (la) Pc
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care (la) Pc)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 1300 GAUSE BLVD STE C4, Slidell, LA 70458-3041
- **Phone:** (985) 288-6419 · **Fax:** (877) 889-8818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 55 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (22), Internal Medicine (12), Cardiovascular Disease (Cardiology) (10); 5 practice at this address; [full list](https://npiprofile.com/npi/1285200048/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285200048) · Data from the CMS NPPES public registry.