CENTERWELL SENIOR PRIMARY CARE- BAKER
NPI 1962276956
Internal Medicine in Baker, LA

Active since November 09, 2023CLIA 19D2298925 · Waiver
6404 GROOM RD, BAKER, LA 70714(225) 614-9065 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Centerwell Senior Primary Care- Baker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE- BAKER (NPI 1962276956) is a healthcare organization registered as an internal medicine in Baker, Louisiana and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1962276956
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (LA) PC
Location Address6404 GROOM RDBaker, LA 70714-4364
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1962276956 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
6404 GROOM RD, Baker, LA 70714

Other Names 1

Doing Business AsCenterwell Senior Primary Care- Baker

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

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

Clinicians Billing Medicare Through This Organization

55

Medicare enrollment records show 55 clinicians reassign Medicare billing to Centerwell Senior Primary Care- Baker, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner22
Internal Medicine12
Cardiovascular Disease (Cardiology)10
Family Practice10
Clinical Social Worker1

Nearest to this location (20)

See all 55
Family Practice
NPI 1407343551
6404 GROOM RD
Baker, LA 70714
(225) 614-9065
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1639377468
4830 S RIVER RD
Port Allen, LA 70767
(225) 892-3923
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1326408576
2314 S RANGE AVE
Denham Springs, LA 70726
(225) 480-4080
✔ PECOS✔ Accepts Medicare14 mi
Internal Medicine
NPI 1285805952
2314 S RANGE AVE
Denham Springs, LA 70726
(225) 480-4080
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1295050953
17123 COMMERCE CENTRE DR
Prairieville, LA 70769
(225) 605-0534
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1700968054
17123 COMMERCE CENTRE DR
Prairieville, LA 70769
(225) 605-0534
✔ PECOS✔ Accepts Medicare20 mi
Internal Medicine
NPI 1720178569
17123 COMMERCE CENTRE DR
Prairieville, LA 70769
(225) 605-0534
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1023371564
2240 W THOMAS ST
Hammond, LA 70401
(985) 348-6139
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1730512096
2240 W THOMAS ST
Hammond, LA 70401
(985) 348-6139
✔ PECOS✔ Accepts Medicare39 mi
Internal Medicine
NPI 1881751667
2240 W THOMAS ST
Hammond, LA 70401
(985) 348-6139
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1285034884
8762 HIGHWAY 182
Opelousas, LA 70570
(337) 942-2005
✔ PECOS✔ Accepts Medicare56 mi
Family Practice
NPI 1841401957
1511 COMMERCE BLVD STE 6
Opelousas, LA 70570
(337) 381-2033
✔ PECOS✔ Accepts Medicare58 mi
Nurse Practitioner
NPI 1326058173
539 BERTRAND DR
Lafayette, LA 70506
(337) 294-1230
✔ PECOS✔ Accepts Medicare60 mi
Internal Medicine
NPI 1801336771
539 BERTRAND DR
Lafayette, LA 70506
(337) 294-1230
✔ PECOS✔ Accepts Medicare60 mi
Internal Medicine
NPI 1417182346
539 BERTRAND DR
Lafayette, LA 70506
(337) 294-1230
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1083190623
1970 N HIGHWAY 190
Covington, LA 70433
(985) 867-8585
✔ PECOS✔ Accepts Medicare63 mi
Internal Medicine
NPI 1487909891
66 PARK PLACE DR
Covington, LA 70433
(985) 875-5459
✔ PECOS✔ Accepts Medicare63 mi
Nurse Practitioner
NPI 1326405721
66 PARK PLACE DR
Covington, LA 70433
(985) 875-5459
✔ PECOS✔ Accepts Medicare63 mi
Family Practice
NPI 1306165097
4101 S CARROLLTON AVE
New Orleans, LA 70119
(504) 446-1390
✔ PECOS✔ Accepts Medicare74 mi
Family Practice
NPI 1427260827
5045 LAPALCO BLVD
Marrero, LA 70072
(504) 446-2245
✔ PECOS✔ Accepts Medicare79 mi
See all 55 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 19D2298925

Centerwell Senior Primary Care-Baker · Baker, LA
Active · expires Feb 9, 2028
CLIA Number19D2298925
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorEarl L. Magee
Laboratory Phone(225) 614-9065
Laboratory LocationCenterwell Senior Primary Care-Baker6404 Groom Rd, Baker, LA 70714
CLIA data matches this NPI record on: Address Name Phone
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 (la) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (la) PC is 1962276956. It was assigned to this organization in the NPPES registry on November 9, 2023. The provider is doing business as Centerwell Senior Primary Care- Baker.

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

Centerwell Senior Primary Care (la) PC is located at 6404 Groom Rd, Baker, LA 70714. The listed phone number is (225) 614-9065.

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

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

Is Centerwell Senior Primary Care (la) PC enrolled in Medicare?

Yes. Centerwell Senior Primary Care (la) PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care (la) PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care (la) 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 (22), Internal Medicine (12) and Cardiovascular Disease (Cardiology) (10). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 19D2298925) is associated with this NPI, valid through February 9, 2028. 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 (la) PC was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.