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CENTERWELL SENIOR PRIMARY CARE (MO) PC
NPI 1518787076
Internal Medicine in Kansas City, MO

Active since October 10, 2024CLIA 26D2264009 · Waiver
4400 E 39TH ST, KANSAS CITY, MO 64128(816) 791-7177(816) 791-7190 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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 1518787076), doing business as Centerwell Senior Primary Care - Seven Oaks, is a healthcare organization registered as an internal medicine in Kansas City, Missouri and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1518787076
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (MO) PC
Location Address4400 E 39TH STKansas City, MO 64128-2818
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Phone(816) 791-7177
Fax(816) 791-7190
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateOctober 10, 2024
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1518787076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
4400 E 39TH ST, Kansas City, MO 64128
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care - Seven Oaks

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

Clinicians Billing Medicare Through This Organization

41

Medicare 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, 3 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner15
Family Practice12
Cardiovascular Disease (Cardiology)9
Internal Medicine4
Cardiac Electrophysiology1

Nearest to this location (20)

See all 41
Anthony Healy, M.D.
Family Practice
NPI 1245452705
4400 E 39TH ST
Kansas City, MO 64128
(816) 791-7177
✔ PECOS✔ Accepts MedicareSame address
Takedria Mingo-Berry, FNP-BC
Nurse Practitioner
NPI 1255816591
4400 E 39TH ST
Kansas City, MO 64128
(816) 791-7177
✔ PECOS✔ Accepts MedicareSame address
Poovizhi Selvi Velmurugan, MSN-NP-C
Nurse Practitioner
NPI 1497340483
4400 E 39TH ST
Kansas City, MO 64128
(816) 791-7177
✔ PECOS✔ Accepts MedicareSame address
Allison Leopold, RN, FNP-BC
Nurse Practitioner
NPI 1720379647
301 E ARMOUR BLVD STE 2E
Kansas City, MO 64111
(816) 394-2082
✔ PECOS✔ Accepts Medicare3.1 mi
Julie Nguyen, M.D.
Internal Medicine
NPI 1477947380
301 E ARMOUR BLVD STE 2E
Kansas City, MO 64111
(816) 394-2082
✔ PECOS✔ Accepts Medicare3.1 mi
Nancy Stepanek, ANP-BC
Nurse Practitioner
NPI 1861624843
301 E ARMOUR BLVD STE 2E
Kansas City, MO 64111
(816) 394-2082
✔ PECOS✔ Accepts Medicare3.1 mi
Keri Sutter, FNP-C
Nurse Practitioner
NPI 1457731309
301 E ARMOUR BLVD STE 2E
Kansas City, MO 64111
(816) 394-2082
✔ PECOS✔ Accepts Medicare3.1 mi
Heather Toney, D.O
Family Practice
NPI 1710117619
301 E ARMOUR BLVD STE 2E
Kansas City, MO 64111
(816) 394-2082
✔ PECOS✔ Accepts Medicare3.1 mi
Marianne Ray, MD
Family Practice
NPI 1457580060
1916 GRAND BLVD
Kansas City, MO 64108
(913) 297-7472
✔ PECOS✔ Accepts Medicare3.6 mi
Tisha Anyanike, M.D.
Family Practice
NPI 1144370750
1010 W US HIGHWAY 24
Independence, MO 64050
(816) 608-3411
✔ PECOS✔ Accepts Medicare6.5 mi
Lawrence Gibbs, M.D.
Family Practice
NPI 1326275660
1010 W US HIGHWAY 24
Independence, MO 64050
(816) 608-3411
✔ PECOS✔ Accepts Medicare6.5 mi
Shalaunda Gray, M.D.
Family Practice
NPI 1467545863
1010 W US HIGHWAY 24
Independence, MO 64050
(816) 608-3411
✔ PECOS✔ Accepts Medicare6.5 mi
Carol Harrington, ARNP
Nurse Practitioner
NPI 1124018437
1010 W US HIGHWAY 24
Independence, MO 64050
(816) 608-3411
✔ PECOS✔ Accepts Medicare6.5 mi
Raneshia Robinson, NP-C
Nurse Practitioner
NPI 1558936526
1010 W US HIGHWAY 24
Independence, MO 64050
(816) 608-3411
✔ PECOS✔ Accepts Medicare6.5 mi
Allison Medlin, M.D.
Family Practice
NPI 1508018128
1010 W US HIGHWAY 24
Independence, MO 64050
(816) 608-3411
✔ PECOS✔ Accepts Medicare6.5 mi
Sarah Doll, FNP
Nurse Practitioner
NPI 1164969143
5420 E BANNISTER RD.
Kansas City, MO 64137
(816) 946-6930
✔ PECOS✔ Accepts Medicare7.1 mi
Shanna Ripley, DO
Internal Medicine
NPI 1184985921
5420 E BANNISTER RD.
Kansas City, MO 64137
(816) 946-6930
✔ PECOS✔ Accepts Medicare7.1 mi
Scott Thompson, F.N.P.
Nurse Practitioner
NPI 1093714933
5420 E BANNISTER RD.
Kansas City, MO 64137
(816) 946-6930
✔ PECOS✔ Accepts Medicare7.1 mi
Pei-Chun Mcgregor, M.D.
Cardiovascular Disease (Cardiology)
NPI 1023231073
19401 E 39TH ST S
Independence, MO 64057
(816) 490-4277
✔ PECOS✔ Accepts Medicare9.7 mi
Ambreen Mohamed, M.D.
Cardiovascular Disease (Cardiology)
NPI 1437443637
19401 E 39TH ST S
Independence, MO 64057
(816) 490-4277
✔ PECOS✔ Accepts Medicare9.7 mi
See all 41 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 26D2264009

Centerwell Senior Primary Care (mo), PC - Seven Oaks · Kansas City, MO
Active · expires Jul 7, 2028
CLIA Number26D2264009
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorJulie Nguyen
Laboratory Phone(305) 842-3910
Laboratory LocationCenterwell Senior Primary Care (mo), PC - Seven Oaks4400 E 39th St, Kansas City, MO 64128
CLIA data matches this NPI record on: Address Name
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 (mo) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (mo) PC is 1518787076. It was assigned to this organization in the NPPES registry on October 10, 2024. The provider is doing business as CenterWell Senior Primary Care - Seven Oaks.

Where is Centerwell Senior Primary Care (mo) PC located?

Centerwell Senior Primary Care (mo) PC is located at 4400 E 39th St, Kansas City, MO 64128. The listed phone number is (816) 791-7177.

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, 3 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Centerwell Senior Primary Care (mo) PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2264009) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centerwell Senior Primary Care (mo) PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Centerwell Senior Primary Care (mo) PC 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 (mo) PC was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.