Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony B Centlivre

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255051231

Anthony B Centlivre is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Practices with Acute Behavioral Health Services PC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
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Practice location Address checks out

201 E Rudisill Blvd
Fort Wayne, IN 46806-1738
Phone: (888) 470-0082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71012957A (IN)

Record details

NPI number1255051231
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022
Mailing address2621 E Jefferson St, Warsaw, IN 46580-3880

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Acute Behavioral Health Services Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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