VITAL PATH HEALTH SERVICES
NPI 1134093180
Clinic/Center in Cheyenne, WY

Active since October 02, 2025
1621 CENTRAL AVE, CHEYENNE, WY 82001(818) 517-8743 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vital Path Health Services NPPES

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

VITAL PATH HEALTH SERVICES (NPI 1134093180) is a healthcare organization registered as a clinic/center in Cheyenne, Wyoming and active in the NPI registry since October 2025. The organization lists Peter Simonian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134093180
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVITAL PATH HEALTH SERVICES
Location Address1621 CENTRAL AVECheyenne, WY 82001-4531
Mailing Address1621 Central AveCheyenne, WY 82001-4531
Organization SubpartNo
Authorized OfficialPeter SimonianCeo · (818) 517-8743
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1134093180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1621 CENTRAL AVE, Cheyenne, WY 82001

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vital Path Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vital Path Health Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1477349363
9711 PINE ORCHARD ST
Pacoima, CA 91331
(323) 470-4278
✔ PECOS✔ Accepts Medicare882 mi
Nurse Practitioner
NPI 1205552072
15625 ODYSSEY DR UNIT 48
Granada Hills, CA 91344
(818) 741-5683
✔ PECOS883 mi

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 Vital Path Health Services's NPI number?

The NPI number for Vital Path Health Services is 1134093180. It was assigned to this organization in the NPPES registry on October 2, 2025.

Where is Vital Path Health Services located?

Vital Path Health Services is located at 1621 Central Ave, Cheyenne, WY 82001. The listed phone number is (818) 517-8743.

What is Vital Path Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Vital Path Health Services enrolled in Medicare?

Yes. Vital Path Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vital Path Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vital Path Health Services. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vital Path Health Services was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.