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CENTERWELL SENIOR PRIMARY CARE VITALITY INC
NPI 1740152792
Internal Medicine in The Villages, FL

Active since September 19, 2025
2485 PINELLAS PL, THE VILLAGES, FL 32163(352) 674-1720(352) 674-8920 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 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 1740152792) 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

NPI1740152792
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE VITALITY INC
Location Address2485 PINELLAS PLThe Villages, FL 32163-2703
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120
Phone(352) 674-1720
Fax(352) 674-8920
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1740152792 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
2485 PINELLAS PL, The Villages, FL 32163
Open in Google Maps ↗

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, 15 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
Vanessa Bingamon, APRN
Nurse Practitioner
NPI 1073102307
2485 PINELLAS PL
The Villages, FL 32163
(352) 674-1720
✔ PECOS✔ Accepts MedicareSame address
Laura Cloukey, M.D.
Internal Medicine
NPI 1538158423
2485 PINELLAS PL
The Villages, FL 32163
(352) 674-1720
✔ PECOS✔ Accepts MedicareSame address
Ronald Herb, DO
Internal Medicine
NPI 1487620209
2485 PINELLAS PL
The Villages, FL 32163
(352) 674-1720
✔ PECOS✔ Accepts MedicareSame address
Kristen Hubbard, MS, RD
Registered Dietitian or Nutrition Professional
NPI 1437514536
2485 PINELLAS PL
The Villages, FL 32163
(352) 674-1720
✔ Accepts MedicareSame address
Joan Jones, PH.D
Mental Health Counselor
NPI 1447648340
2485 PINELLAS PL
The Villages, FL 32163
(844) 884-9355
✔ PECOSSame address
Adam Kakar, MD, DO
Family Practice
NPI 1700048618
2485 PINELLAS PL
The Villages, FL 32163
(352) 674-1720
✔ PECOS✔ Accepts MedicareSame address
Joyce Kusuma, DNP
Nurse Practitioner
NPI 1144536145
2485 PINELLAS PL
The Villages, FL 32163
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Andrea Leclair, DNP
Nurse Practitioner
NPI 1164145892
2485 PINELLAS PL
The Villages, FL 32163
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Miguel Mantilla-Villamizar, MD
Internal Medicine
NPI 1063864346
2485 PINELLAS PL
The Villages, FL 32163
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Tracey Moore, APRN
Nurse Practitioner
NPI 1164069860
2485 PINELLAS PL
The Villages, FL 32163
(352) 674-1720
✔ PECOS✔ Accepts MedicareSame address
Tomas Perez, M.D.
Family Practice
NPI 1659442903
2485 PINELLAS PL
The Villages, FL 32163
(352) 674-1720
✔ PECOS✔ Accepts MedicareSame address
Stephen Rachael, MD
Family Practice
NPI 1750510798
2485 PINELLAS PL
The Villages, FL 32163
(844) 884-9355
✔ PECOS✔ Accepts MedicareSame address
Madhu Sharma, FNP-BC
Nurse Practitioner
NPI 1437326238
2485 PINELLAS PL
The Villages, FL 32163
(448) 849-3558
✔ PECOS✔ Accepts MedicareSame address
Julie Sudduth, D.O.
Family Practice
NPI 1326060716
2485 PINELLAS PL
The Villages, FL 32163
(352) 674-1720
✔ PECOS✔ Accepts MedicareSame address
Donna Koss-Bradish, CRNP
Nurse Practitioner
NPI 1487050522
2485 PINELLAS PL
The Villages, FL 32163
(352) 674-1720
✔ PECOS✔ Accepts MedicareSame address
Wayne Burgess, MD
Family Practice
NPI 1790703981
2910 BROWNWOOD BLVD
The Villages, FL 32163
(352) 674-1790
✔ PECOS✔ Accepts Medicare1.6 mi
Amber Krause, APRN
Nurse Practitioner
NPI 1043024300
2910 BROWNWOOD BLVD
The Villages, FL 32163
(352) 205-4032
✔ PECOS✔ Accepts Medicare1.6 mi
Harsha Rajashekar, D.O.
Interventional Pain Management
NPI 1760668164
2910 BROWNWOOD BLVD
The Villages, FL 32163
(352) 674-8700
✔ PECOS✔ Accepts Medicare1.6 mi
Leonard Ranasinghe, MD
Internal Medicine
NPI 1295813780
2910 BROWNWOOD BLVD
The Villages, FL 32163
(844) 884-9355
✔ PECOS✔ Accepts Medicare1.6 mi
Julie Roberts, RD
Registered Dietitian or Nutrition Professional
NPI 1811964463
2910 BROWNWOOD BLVD
The Villages, FL 32163
(844) 884-9355
✔ Accepts Medicare1.6 mi
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 1740152792. 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 2485 Pinellas Pl, The Villages, FL 32163. The listed phone number is (352) 674-1720.

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, 15 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.