CENTERWELL SENIOR PRIMARY CARE (MO) PC
NPI 1629898184
Internal Medicine in Independence, MO

Active since October 10, 2024CLIA 26D2271955 · Waiver
1010 W US HIGHWAY 24, INDEPENDENCE, MO 64050(816) 608-3411(816) 608-2921 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1629898184), doing business as Centerwell Senior Primary Care - Us-24, is a healthcare organization registered as an internal medicine in Independence, Missouri and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1629898184
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (MO) PC
Location Address1010 W US HIGHWAY 24Independence, MO 64050-2337
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(816) 608-2921
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateOctober 10, 2024
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
NPI 1629898184 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
1010 W US HIGHWAY 24, Independence, MO 64050

Other Names 1

Doing Business AsCenterwell Senior Primary Care - Us-24

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

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 26D2271955

Centerwell Senior Primary Care (mo), Pc- Us-24 · Independence, MO
Active · expires Nov 9, 2026
CLIA Number26D2271955
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorJulie Nguyen
Laboratory Phone(816) 608-3411
Laboratory LocationCenterwell Senior Primary Care (mo), Pc- Us-241010 W Us Highway 24, Independence, MO 64050
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
1010 W US HIGHWAY 24
INDEPENDENCE, MO 64050
Family Medicine
1010 W US HIGHWAY 24
INDEPENDENCE, MO 64050
Family Medicine
1010 W US HIGHWAY 24
INDEPENDENCE, MO 64050
Physician Assistant
1010 W US HIGHWAY 24
INDEPENDENCE, MO 64050
Family Medicine
1010 W US HIGHWAY 24
INDEPENDENCE, MO 64050
Nurse Practitioner (Adult Health)
1010 W US HIGHWAY 24
INDEPENDENCE, MO 64050
Family Medicine
1010 W US HIGHWAY 24
INDEPENDENCE, MO 64050

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 1629898184. It was assigned to this organization in the NPPES registry on October 10, 2024. The provider is doing business as CenterWell Senior Primary Care - US-24.

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

Centerwell Senior Primary Care (mo) PC is located at 1010 W Us Highway 24, Independence, MO 64050. The listed phone number is (816) 608-3411.

What is Centerwell Senior Primary Care (mo) PC's specialty?

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

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

Yes. A Certificate of Waiver (number 26D2271955) is associated with this NPI, valid through November 9, 2026. 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 Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee and Health Advantage and 9 other insurers 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 with the weekly NPPES data releases published by CMS.