CENTERWELL SENIOR PRIMARY CARE AZ CS PC
NPI 1477418382
Internal Medicine in Surprise, AZ
About Centerwell Senior Primary Care Az Cs Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE AZ CS PC (NPI 1477418382) is a healthcare organization registered as an internal medicine in Surprise, Arizona and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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 Az Cs Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Centerwell Senior Primary Care Az Cs PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 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 22Surprise, AZ 85374
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 03D2241742
Centerwell Senior Primary Care-Parkview · Surprise, AZFrequently 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 Az Cs PC's NPI number?
The NPI number for Centerwell Senior Primary Care Az Cs PC is 1477418382. It was assigned to this organization in the NPPES registry on December 23, 2025.
Where is Centerwell Senior Primary Care Az Cs PC located?
Centerwell Senior Primary Care Az Cs PC is located at 14749 W Mountain View Blvd Ste 138, Surprise, AZ 85374. The listed phone number is (623) 738-0440.
What is Centerwell Senior Primary Care Az Cs PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care Az Cs PC enrolled in Medicare?
Yes. Centerwell Senior Primary Care Az Cs PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care Az Cs PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Az Cs 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 (13), Family Practice (4) and Internal Medicine (4). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerwell Senior Primary Care Az Cs PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2241742) is associated with this NPI, valid through October 31, 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 Az Cs PC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 Az Cs Pc · NPI 1477418382
Internal Medicine organization in Surprise, Arizona. Organization record, active in the CMS NPPES registry since December 23, 2025.
## Identity
- **NPI:** 1477418382 (Entity type: Organization)
- **Enumerated:** December 23, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care Az Cs Pc)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 14749 W MOUNTAIN VIEW BLVD STE 138, Surprise, AZ 85374-2704
- **Phone:** (623) 738-0440 · **Fax:** (480) 374-8051
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (4), Internal Medicine (4); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1477418382/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 23, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477418382) · Data from the CMS NPPES public registry.