CENTERWELL SENIOR PRIMARY CARE LA CS PC
NPI 1952196495
Internal Medicine in Shreveport, LA
About Centerwell Senior Primary Care La Cs Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE LA CS PC (NPI 1952196495) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since April 2025. The organization maintains a secondary practice location in Miami and lists Angie S Martinez, Senior Credentialing Professional, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 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 La Cs Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Centerwell Senior Primary Care La Cs PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
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 La Cs PC's NPI number?
The NPI number for Centerwell Senior Primary Care La Cs PC is 1952196495. It was assigned to this organization in the NPPES registry on April 14, 2025.
Where is Centerwell Senior Primary Care La Cs PC located?
Centerwell Senior Primary Care La Cs PC is located at 7551 Youree Dr Ste 11, Shreveport, LA 71105. The listed phone number is (318) 642-9282.
What is Centerwell Senior Primary Care La Cs PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care La Cs PC enrolled in Medicare?
Yes. Centerwell Senior Primary Care La Cs PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care La Cs PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care La Cs 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 (3), Internal Medicine (2) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Centerwell Senior Primary Care La Cs PC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Centerwell Senior Primary Care La Cs Pc · NPI 1952196495
Internal Medicine organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since April 14, 2025.
## Identity
- **NPI:** 1952196495 (Entity type: Organization)
- **Enumerated:** April 14, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 7551 YOUREE DR STE 11, Shreveport, LA 71105-5533
- **Phone:** (318) 642-9282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1952196495) · Data from the CMS NPPES public registry.