PAINTBRUSH MEDICAL CENTER PC
NPI 1689542995
Nurse Practitioner - Family in Upton, WY
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 53D2334602
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-23-2027
About PAINTBRUSH MEDICAL CENTER PC
This page provides the complete NPI Profile along with additional information for Paintbrush Medical Center Pc, a provider established in Upton, Wyoming operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1689542995 assigned on October 2025. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Paintbrush Medical Center Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Melaynee Trandahl Np (Owner)
- NPI
- 1689542995 Verify this NPI
- Provider Name
- PAINTBRUSH MEDICAL CENTER PC
- Entity Type
- Organization
- Location Address
- 610 WILLOW ST UPTON, WY 82730
- Location Phone
- (605) 641-2933
- Mailing Address
- 610 WILLOW ST UPTON, WY 82730
- Mailing Phone
- (605) 641-2933
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-28-2025
- Last Update Date
- 10-28-2025
- Code Navigator
A nurse practitioner (NP) like Paintbrush Medical Center Pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 53D2334602
- Facility Type
- Physician Office
- Certificate Effective Date
- November 24, 2025
- Certificate Expiration Date
- November 23, 2027
- Laboratory Director
- MELAYNEE TRANDAHL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Paintbrush Medical Center Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689542995, enumerated as an "organization" on October 28, 2025.
The provider is located at 610 WILLOW ST UPTON, WY 82730 and the phone number is (605) 641-2933.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
