CENTERWELL SENIOR PRIMARY CARE NC JV PC
NPI 1891409322
Internal Medicine in Raleigh, NC
About Centerwell Senior Primary Care Nc Jv Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE NC JV PC (NPI 1891409322), doing business as Centerwell Senior Primary Care-capital, is a healthcare organization registered as an internal medicine in Raleigh, North Carolina and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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 Nc Jv Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Centerwell Senior Primary Care Nc Jv PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 43Source: 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 34D2278764
Centerwell Senior Primary Care-Capital · Raleigh, NCFrequently 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 Nc Jv PC's NPI number?
The NPI number for Centerwell Senior Primary Care Nc Jv PC is 1891409322. It was assigned to this organization in the NPPES registry on January 10, 2023. The provider was formerly known as Centerwell Senior Primary Care-Capital.
Where is Centerwell Senior Primary Care Nc Jv PC located?
Centerwell Senior Primary Care Nc Jv PC is located at 3901 Capital Blvd Ste 113, Raleigh, NC 27604. The listed phone number is (984) 282-9402.
What is Centerwell Senior Primary Care Nc Jv PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care Nc Jv PC enrolled in Medicare?
Yes. Centerwell Senior Primary Care Nc Jv PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care Nc Jv PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Nc Jv 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 (17), Cardiovascular Disease (Cardiology) (9) and Family Practice (9). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerwell Senior Primary Care Nc Jv PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2278764) is associated with this NPI, valid through March 22, 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 Nc Jv PC was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 Nc Jv Pc · NPI 1891409322
Internal Medicine organization in Raleigh, North Carolina. Organization record, active in the CMS NPPES registry since January 10, 2023.
## Identity
- **NPI:** 1891409322 (Entity type: Organization)
- **Enumerated:** January 10, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care Nc Jv Pc)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 3901 CAPITAL BLVD STE 113, Raleigh, NC 27604-3487
- **Phone:** (984) 282-9402 · **Fax:** (877) 471-2993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Cardiovascular Disease (Cardiology) (9), Family Practice (9); 2 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1891409322/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1891409322) · Data from the CMS NPPES public registry.