NPPES file of Aug 9, 2026

Centerwell Senior Primary Care Mo PC in Independence, MO

This location of Centerwell Senior Primary Care Mo bills under NPI 1629785613, an organization record issued on Oct 31, 2022 with the primary taxonomy Internal Medicine Physician. It is one of 10 NPIs registered under this name and one of 3 in Independence; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1629785613
Legal name
Centerwell Senior Primary Care Mo PC
Entity
Type 2 · organization, a subpart
Parent organization
Centerwell Senior Primary Care Mo PC
Primary taxonomy
Internal Medicine Physician 207R00000X
Practice location
300 N OSAGE ST STE 200, Independence, MO 64050
Phone
816-623-6503
Mailing address
Miami, FL
Enumerated
Oct 31, 2022
Record updated
Aug 19, 2024
Authorized official
Senior Credentialing Professional (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

The other 2 Independence NPIs

  1. Centerwell Senior Primary Care (Mo) PC19401 E 39TH ST S · issued Jul 18, 20171649793001
  2. Centerwell Senior Primary Care (Mo) PC1010 W US HIGHWAY 24 · issued Oct 10, 20241629898184

14 clinicians CMS lists with Centerwell Senior Primary Care Mo in Independence

  1. Tisha Anyanike, MDFamily Medicine Physician1144370750
  2. James Demetriou, MDFamily Medicine Physician1447298583
  3. Sarah Doll, FNPFamily Nurse Practitioner1164969143
  4. Lawrence Gibbs, MDFamily Medicine Physician1326275660
  5. Shalaunda Gray, MDFamily Medicine Physician1467545863
  6. Carol Harrington, ARNPAdult Health Nurse Practitioner1124018437
  7. Stephanie HutchisonFamily Nurse Practitioner1841396363
  8. Rutendo Kamudzandu, NPGerontology Nurse Practitioner1699195602
  9. Logan Kratt, MDFamily Medicine Physician1467461558
  10. Thuytien Le, MDFamily Nurse Practitioner1386984045
  11. Candice Mcgowan, FNP-BCFamily Nurse Practitioner1639403876
  12. Allison Medlin, MDFamily Medicine Physician1508018128
  13. Katrina Powers, MDFamily Medicine Physician1588622153
  14. Nancy Stepanek, ANP-BCAdult Health Nurse Practitioner1861624843

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 10 Centerwell Senior Primary Care Mo NPIs

Every location registered under this name, in 5 cities.

See every location

Checking an organization

  1. Confirm the business with the Missouri secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 207Q00000X Family Medicine Physician
  • 207R00000X Internal Medicine Physician
  • 208D00000X General Practice Physician

Common questions

Why is the mailing address in Florida?

The mailing address in the record (Miami, FL) is where the organization receives mail. Care is given at the practice location in Independence.

What does subpart mean?

The organization registered this NPI as a subpart: a part of the organization, such as a location, that bills under its own NPI.

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Which Independence NPI should I use?

Ask the office which NPI it bills under; all 3 Independence NPIs are registered under the same name.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.