CENTERWELL SENIOR PRIMARY CARE VITALITY INC
NPI 1457223489
Internal Medicine in The Villages, FL

Q: What is Centerwell Senior Primary Care Vitality Inc's specialty?

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

Active since September 19, 2025

2955 BROWNWOOD BLVD STE 403, THE VILLAGES, FL 32163(352) 674-8700(352) 674-8714 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Centerwell Senior Primary Care Vitality Inc NPPES

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

CENTERWELL SENIOR PRIMARY CARE VITALITY INC (NPI 1457223489) is a healthcare organization registered as an internal medicine in The Villages, Florida and active in the NPI registry since September 2025. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1457223489

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE VITALITY INC

Location Address2955 BROWNWOOD BLVD STE 403The Villages, FL 32163-2040

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120

Phone(352) 674-8700

Fax(352) 674-8714

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateSeptember 19, 2025

NPPES CertifiedSeptember 19, 2025

✔ NPI 1457223489 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

2955 BROWNWOOD BLVD STE 403, The Villages, FL 32163

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 Vitality Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

167

Medicare enrollment records show 167 clinicians reassign Medicare billing to Centerwell Senior Primary Care Vitality Inc, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 140 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner60

Family Practice34

Internal Medicine27

Qualified Audiologist6

Cardiovascular Disease (Cardiology)4

Endocrinology4

Neurology4

Registered Dietitian or Nutrition Professional4

11 other specialties24

Nearest to this location (20)

See all 167

Kimberly Behney, APRN

Nurse Practitioner

NPI 1780208090

2955 BROWNWOOD BLVD STE 403
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Desiree Casasnovas-Lopez, M.D.

Neurology

NPI 1851596738

2955 BROWNWOOD BLVD
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Marisel Chibas, M.D.

Obstetrics/Gynecology

NPI 1689686933

2955 BROWNWOOD BLVD STE 403
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Emily Descano, AUD

Qualified Audiologist

NPI 1215768676

2955 BROWNWOOD BLVD STE 118
The Villages, FL 32163

(352) 724-1445

✔ Accepts MedicareSame address

David Goss, MD

Obstetrics/Gynecology

NPI 1154373033

2955 BROWNWOOD BLVD STE 403
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Allesha Green, APRN

Nurse Practitioner

NPI 1285453217

2955 BROWNWOOD BLVD
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Paula Jacobsen, APRN

Nurse Practitioner

NPI 1073589834

2955 BROWNWOOD BLVD
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Alexander Khodak, MD

Cardiovascular Disease (Cardiology)

NPI 1023514437

2955 BROWNWOOD BLVD STE 403
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Kent Kirby, M.D.

Urology

NPI 1013980697

2955 BROWNWOOD BLVD
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Faustino Macuha, MD

Endocrinology

NPI 1548402423

2955 BROWNWOOD BLVD
The Villages, FL 32163

(352) 674-8700

✔ PECOS✔ Accepts MedicareSame address

James Mersey, M.D.

Endocrinology

NPI 1669477683

2955 BROWNWOOD BLVD
The Villages, FL 32163

(352) 674-8700

✔ PECOS✔ Accepts MedicareSame address

Roland More, MD

Neurology

NPI 1437250065

2955 BROWNWOOD BLVD
The Villages, FL 32163

(352) 674-8714

✔ PECOS✔ Accepts MedicareSame address

Frederick Niegos, MD

Endocrinology

NPI 1649277401

2955 BROWNWOOD BLVD
The Villages, FL 32163

(352) 674-8700

✔ PECOS✔ Accepts MedicareSame address

Lakhvir Pabla, DPM

Podiatry

NPI 1265054845

2955 BROWNWOOD BLVD
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Michael Reed, DPM

Podiatry

NPI 1558740266

2955 BROWNWOOD BLVD
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Joseph Rios, M.D.

Neurology

NPI 1487194742

2955 BROWNWOOD BLVD
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Yerania Rodriguez Navedo, M.D.

Rheumatology

NPI 1548454788

2955 BROWNWOOD BLVD
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Irina Shubov, APRN

Nurse Practitioner

NPI 1750976718

2955 BROWNWOOD BLVD
The Villages, FL 32163

(844) 884-9355

✔ PECOS✔ Accepts MedicareSame address

Mackinzie Mcdaniel, MD

Physical Medicine and Rehabilitation

NPI 1134706898

2955 BROWNWOOD BLVD
The Villages, FL 32163

(352) 674-8700

✔ PECOS✔ Accepts MedicareSame address

Matthew Shlapack, M.D.

Endocrinology

NPI 1982729109

2955 BROWNWOOD BLVD
The Villages, FL 32163

(352) 674-8700

✔ PECOS✔ Accepts MedicareSame address

See all 167 clinicians

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 Vitality Inc's NPI number?

The NPI number for Centerwell Senior Primary Care Vitality Inc is 1457223489. It was assigned to this organization in the NPPES registry on September 19, 2025.

Where is Centerwell Senior Primary Care Vitality Inc located?

Centerwell Senior Primary Care Vitality Inc is located at 2955 Brownwood Blvd Ste 403, The Villages, FL 32163. The listed phone number is (352) 674-8700.

What is Centerwell Senior Primary Care Vitality Inc's specialty?

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

Is Centerwell Senior Primary Care Vitality Inc enrolled in Medicare?

Yes. Centerwell Senior Primary Care Vitality Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care Vitality Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 167 clinicians in 19 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Vitality Inc. 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 (60), Family Practice (34) and Internal Medicine (27). Of these, 22 practice at this address and 140 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Centerwell Senior Primary Care Vitality Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Centerwell Senior Primary Care Vitality Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Vitality Inc was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.