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CENTERWELL SENIOR PRIMARY CARE VITALITY INC
NPI 1497627434
Internal Medicine in The Villages, FL

Active since September 19, 2025CLIA 10D2073852 · Waiver
1050 OLD CAMP RD, THE VILLAGES, FL 32162(352) 674-1760(352) 674-8960 Get Directions Write a Review

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

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 1497627434) is a healthcare organization registered as an internal medicine in The Villages, Florida and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1497627434
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE VITALITY INC
Location Address1050 OLD CAMP RDThe Villages, FL 32162-1762
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120
Phone(352) 674-1760
Fax(352) 674-8960
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1497627434 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
1050 OLD CAMP RD, The Villages, FL 32162
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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, 20 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
Danielle Blakemore, APRN, FNP-C
Nurse Practitioner
NPI 1437533973
1050 OLD CAMP RD
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Mary Busto, APRN
Nurse Practitioner
NPI 1093193112
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Amber Hartzell, APRN, FNP-C
Nurse Practitioner
NPI 1508530775
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Arlene Henry, M.D
Internal Medicine
NPI 1275579203
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Richard Hoffer, MD
Psychiatry
NPI 1760461081
1050 OLD CAMP RD BUILDING 100
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Jamie Howard
Qualified Audiologist
NPI 1669652848
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(844) 884-9355
✔ Accepts MedicareSame address
Thumati Jagalur, MD
Internal Medicine
NPI 1245276096
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Samantha Johnson, APRN
Nurse Practitioner
NPI 1275141954
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Dawn Mccue, ARNP
Nurse Practitioner
NPI 1366702698
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Smita Ojha, M.D.
Family Practice
NPI 1922184498
1050 OLD CAMP RD
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Rani Marie Powierza, NP-BC
Nurse Practitioner
NPI 1992231021
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Pranav Ravi, M.D.
Internal Medicine
NPI 1881076040
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Robert Reilly, M.D.
Internal Medicine
NPI 1992725089
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(352) 674-8960
✔ PECOS✔ Accepts MedicareSame address
Jenna Remington
Nurse Practitioner
NPI 1487280434
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Joseph Rizzi, D.O.
Family Practice
NPI 1942658083
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Roshni Samuel, MD
Internal Medicine
NPI 1275606485
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Stephen Sandler, LCSW
Clinical Social Worker
NPI 1851387542
1050 OLD CAMP RD
The Villages, FL 32162
(352) 674-1760
✔ PECOS✔ Accepts MedicareSame address
Chelsey Sundberg, APRN
Nurse Practitioner
NPI 1346646833
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Sheila Thomas, M.D.
Psychiatry
NPI 1215988548
1050 OLD CAMP RD STE 100
The Villages, FL 32162
(352) 674-1760
✔ PECOSSame address
Ashley Wood, MD
Family Practice
NPI 1053573568
1050 OLD CAMP RD
The Villages, FL 32162
(352) 674-1760
✔ 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.

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 10D2073852

Centerwell Senior Primary Care (vitality), Inc Dba Centerwell Senior Primary Care · The Villages, FL
Active · expires Feb 24, 2028
CLIA Number10D2073852
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorAshley L. Wood
Laboratory Phone(352) 674-1760
Laboratory LocationCenterwell Senior Primary Care (vitality), Inc Dba Centerwell Senior Primary Care1050 Old Camp Rd, Suite 100, The Villages, FL 32162
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1497627434. 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 1050 Old Camp Rd, The Villages, FL 32162. The listed phone number is (352) 674-1760.

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, 20 practice at this address and 140 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Centerwell Senior Primary Care Vitality Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2073852) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.