THRIVEWELL MENTAL TELEHEALTH, PLLC
NPI 1275358897
Nurse Practitioner - Psychiatric/Mental Health in Derry, NH
About Thrivewell Mental Telehealth, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THRIVEWELL MENTAL TELEHEALTH, PLLC (NPI 1275358897) is a healthcare organization registered as a psychiatric/mental health in Derry, New Hampshire and active in the NPI registry since November 2024. The organization lists William Boafo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thrivewell Mental Telehealth, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Thrivewell Mental Telehealth, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Thrivewell Mental Telehealth, PLLC's NPI number?
The NPI number for Thrivewell Mental Telehealth, PLLC is 1275358897. It was assigned to this organization in the NPPES registry on November 19, 2024.
Where is Thrivewell Mental Telehealth, PLLC located?
Thrivewell Mental Telehealth, PLLC is located at 84 W Broadway Ste 200, Derry, NH 03038. The listed phone number is (603) 553-7993.
What is Thrivewell Mental Telehealth, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Thrivewell Mental Telehealth, PLLC enrolled in Medicare?
Yes. Thrivewell Mental Telehealth, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thrivewell Mental Telehealth, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Thrivewell Mental Telehealth, PLLC. 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.
What insurance does Thrivewell Mental Telehealth, PLLC accept?
Health plans from WellSense Health Plan list Thrivewell Mental Telehealth, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thrivewell Mental Telehealth, PLLC was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Thrivewell Mental Telehealth, Pllc · NPI 1275358897
Psychiatric/Mental Health organization in Derry, New Hampshire. Organization record, active in the CMS NPPES registry since November 19, 2024.
## Identity
- **NPI:** 1275358897 (Entity type: Organization)
- **Enumerated:** November 19, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** William Boafo, OWNER
## Practice location
- **Address:** 84 W BROADWAY STE 200, Derry, NH 03038-2323
- **Phone:** (603) 553-7993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1275358897) · Data from the CMS NPPES public registry.