CENTERWELL SENIOR PRIMARY CARE MO PC
NPI 1366922635
Internal Medicine in Kansas City, MO
About Centerwell Senior Primary Care Mo Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE MO PC (NPI 1366922635), doing business as Centerwell Senior Primary Care-bannister Rd, is a healthcare organization registered as an internal medicine in Kansas City, Missouri and active in the NPI registry since August 2018. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 5
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 Mo Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Centerwell Senior Primary Care Mo PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 41Source: 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 Mo PC's NPI number?
The NPI number for Centerwell Senior Primary Care Mo PC is 1366922635. It was assigned to this organization in the NPPES registry on August 16, 2018. The provider is doing business as CenterWell Senior Primary Care-Bannister Rd, CenterWell Senior Primary Care-Raytown and Partners in Primary Care - Raytown. The provider was formerly known as Partners in Primary Care MO PC. Additional names are listed in the Other Names section above.
Where is Centerwell Senior Primary Care Mo PC located?
Centerwell Senior Primary Care Mo PC is located at 5420 E. Bannister Road, Kansas City, MO 64137. The listed phone number is (816) 946-6930.
What is Centerwell Senior Primary Care Mo PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care Mo PC enrolled in Medicare?
Yes. Centerwell Senior Primary Care Mo PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care Mo PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Mo 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 (15), Family Practice (12) and Cardiovascular Disease (Cardiology) (9). Of these, 4 practice at this address and 13 within 10 miles. 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 Mo PC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Centerwell Senior Primary Care Mo Pc · NPI 1366922635
Internal Medicine organization in Kansas City, Missouri. Organization record, active in the CMS NPPES registry since August 16, 2018.
## Identity
- **NPI:** 1366922635 (Entity type: Organization)
- **Enumerated:** August 16, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** CenterWell Senior Primary Care-Bannister Rd (Doing Business As); CenterWell Senior Primary Care-Raytown (Doing Business As); Partners in Primary Care - Raytown (Doing Business As); and 2 more
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care Mo Pc)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 5420 E. BANNISTER ROAD, Kansas City, MO 64137
- **Phone:** (816) 946-6930 · **Fax:** (855) 392-7990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 41 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Family Practice (12), Cardiovascular Disease (Cardiology) (9); 4 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1366922635/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366922635) · Data from the CMS NPPES public registry.