CENTERWELL SENIOR PRIMARY CARE NV P C
NPI 1285257667
Internal Medicine in Las Vegas, NV

Active since May 20, 2020CLIA 29D2191357 · Waiver
4001 S DECATUR BLVD STE 25, LAS VEGAS, NV 89103(725) 224-6967(833) 749-0357 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2025, Oct 20, 2022, Apr 9, 2021 and 4 more (7 updates tracked since 2020).

About Centerwell Senior Primary Care Nv P C NPPES

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

CENTERWELL SENIOR PRIMARY CARE NV P C (NPI 1285257667), doing business as Centerwell Senior Primary Care-spring Valley, is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1285257667
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE NV P C
Location Address4001 S DECATUR BLVD STE 25Las Vegas, NV 89103-5857
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120 · Fax (407) 770-0661
Fax(833) 749-0357
Organization SubpartYesParent: Centerwell Senior Primary Care Nv Pc
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMay 20, 2020
Last NPPES UpdateDecember 16, 20257 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1285257667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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
4001 S DECATUR BLVD STE 25, Las Vegas, NV 89103

Other Names 2

Doing Business AsCenterwell Senior Primary Care-spring Valley
Former Legal Business NamePartners In Primary Care Nv Pc

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

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 29D2191357

Centerwell Senior Primary Care - Spring Valley · Las Vegas, NV
Active · expires Aug 24, 2026
CLIA Number29D2191357
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorTracy J. Wakefield
Laboratory Phone(725) 224-6967
Laboratory LocationCenterwell Senior Primary Care - Spring Valley4001 S Decatur Blvd, Las Vegas, NV 89103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Social Worker (Clinical)
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Nurse Practitioner
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Nurse Practitioner (Acute Care)
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Internal Medicine
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Nurse Practitioner (Family)
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
General Practice
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103

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 P C's NPI number?

The NPI number for Centerwell Senior Primary Care Nv P C is 1285257667. It was assigned to this organization in the NPPES registry on May 20, 2020. The provider is doing business as CenterWell Senior Primary Care-Spring Valley. The provider was formerly known as Partners in Primary Care NV PC.

Where is Centerwell Senior Primary Care Nv P C located?

Centerwell Senior Primary Care Nv P C is located at 4001 S Decatur Blvd Ste 25, Las Vegas, NV 89103. The listed phone number is (725) 224-6967.

What is Centerwell Senior Primary Care Nv P C's specialty?

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

Does Centerwell Senior Primary Care Nv P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2191357) is associated with this NPI, valid through August 24, 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 Nv P C was last updated on December 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.