THRIVE HEALTHCARE CENTER L L C
NPI 1477368942
Nurse Practitioner - Family in Olney, IL

Active since February 11, 2025CLIA 14D2326025 · Waiver
405 S WHITTLE AVE, OLNEY, IL 62450(618) 838-0176 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Feb 11, 2025 (2 updates tracked since 2025).

About Thrive Healthcare Center L L C NPPES

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

THRIVE HEALTHCARE CENTER L L C (NPI 1477368942) is a healthcare organization registered as a family in Olney, Illinois and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Marlissa Boyles, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1477368942
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHRIVE HEALTHCARE CENTER L L C
Location Address405 S WHITTLE AVEOlney, IL 62450-2262
Mailing Address405 S Whittle AveOlney, IL 62450-2262 · (618) 838-0176
Organization SubpartNo
Authorized OfficialMarlissa BoylesNurse Practitioner · (618) 838-0176
Enumeration DateFebruary 11, 2025
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1477368942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
405 S WHITTLE AVE, Olney, IL 62450

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thrive Healthcare Center L L C 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 Thrive Healthcare Center L L C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1316314933
405 S WHITTLE AVE
Olney, IL 62450
(618) 364-1009
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2326025

Thrive Healthcare Center · Olney, IL
Active · expires Jun 24, 2027
CLIA Number14D2326025
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorMarlissa A. Boyles
Laboratory Phone(618) 364-1009
Laboratory LocationThrive Healthcare Center405 S Whittle Ave, Olney, IL 62450
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Thrive Healthcare Center L L C's NPI number?

The NPI number for Thrive Healthcare Center L L C is 1477368942. It was assigned to this organization in the NPPES registry on February 11, 2025.

Where is Thrive Healthcare Center L L C located?

Thrive Healthcare Center L L C is located at 405 S Whittle Ave, Olney, IL 62450. The listed phone number is (618) 838-0176.

What is Thrive Healthcare Center L L C's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thrive Healthcare Center L L C enrolled in Medicare?

Yes. Thrive Healthcare Center L L C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thrive Healthcare Center L L C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Thrive Healthcare Center L L C. 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.

Does Thrive Healthcare Center L L C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2326025) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thrive Healthcare Center L L C was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.