CENTERWELL SENIOR PRIMARY CARE FL JV PLLC
NPI 1356178578
Internal Medicine in Hudson, FL
About Centerwell Senior Primary Care Fl Jv Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE FL JV PLLC (NPI 1356178578), doing business as Conviva Hudson, is a healthcare organization registered as an internal medicine in Hudson, Florida and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through February 13, 2027 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 Fl Jv Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Centerwell Senior Primary Care Fl Jv PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 37Winter Garden, FL 34787
Winter Garden, FL 34787
Winter Garden, FL 34787
Source: 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 10D2318674
Centerwell Senior Primary Care Fl Jv PLLC Dba Conviva Senior Primary Care · Hudson, FLFrequently 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 Fl Jv PLLC's NPI number?
The NPI number for Centerwell Senior Primary Care Fl Jv PLLC is 1356178578. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Conviva Hudson.
Where is Centerwell Senior Primary Care Fl Jv PLLC located?
Centerwell Senior Primary Care Fl Jv PLLC is located at 12582 Us Highway 19, Hudson, FL 34667. The listed phone number is (407) 447-7120.
What is Centerwell Senior Primary Care Fl Jv PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care Fl Jv PLLC enrolled in Medicare?
Yes. Centerwell Senior Primary Care Fl Jv PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care Fl Jv PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 4 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Fl Jv PLLC. 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 (18), Family Practice (10) and General Practice (5). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerwell Senior Primary Care Fl Jv PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2318674) is associated with this NPI, valid through February 13, 2027. 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 Fl Jv PLLC was last updated on September 19, 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 Fl Jv Pllc · NPI 1356178578
Internal Medicine organization in Hudson, Florida. Organization record, active in the CMS NPPES registry since September 19, 2024.
## Identity
- **NPI:** 1356178578 (Entity type: Organization)
- **Enumerated:** September 19, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** Conviva Hudson (Doing Business As)
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care Fl Jv Pllc)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 12582 US HIGHWAY 19, Hudson, FL 34667-1952
- **Phone:** (407) 447-7120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 37 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Family Practice (10), General Practice (5); 4 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1356178578/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356178578) · Data from the CMS NPPES public registry.