THRIVEWAY HEALTH SERVICES
NPI 1396619565
Clinic/Center in Cheyenne, WY

Active since October 01, 2025
1621 CENTRAL AVE, CHEYENNE, WY 82001(818) 517-8743 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thriveway Health Services NPPES

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

THRIVEWAY HEALTH SERVICES (NPI 1396619565) 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

NPI1396619565
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTHRIVEWAY 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 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1396619565 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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Thriveway Health Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1205552072
15625 ODYSSEY DR UNIT 48
Granada Hills, CA 91344
(818) 741-5683
✔ PECOS883 mi
Nurse Practitioner
NPI 1174337232
1846 N VAN NESS AVE
Los Angeles, CA 90028
(818) 687-7853
✔ PECOS✔ Accepts Medicare884 mi
General Practice
NPI 1356568752
8215 VAN NUYS BLVD 210-204
Panorama City, CA 91402
(818) 901-0373
✔ PECOS✔ Accepts Medicare885 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 Thriveway Health Services's NPI number?

The NPI number for Thriveway Health Services is 1396619565. It was assigned to this organization in the NPPES registry on October 1, 2025.

Where is Thriveway Health Services located?

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

What is Thriveway Health Services's specialty?

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

Is Thriveway Health Services enrolled in Medicare?

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

How many clinicians bill Medicare through Thriveway Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Thriveway Health Services, in General Practice and Nurse Practitioner. 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 Thriveway Health Services was last updated on October 1, 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.