PAINTBRUSH MEDICAL CENTER PC
NPI 1689542995
Nurse Practitioner - Family in Upton, WY

Active since October 28, 2025CLIA 53D2334602 · Waiver
610 WILLOW ST, UPTON, WY 82730(605) 641-2933 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Paintbrush Medical Center Pc NPPES

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

PAINTBRUSH MEDICAL CENTER PC (NPI 1689542995) is a healthcare organization registered as a family in Upton, Wyoming and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists Melaynee Trandahl, Owner, as its authorized official.

NPPES Registry Identity

NPI1689542995
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePAINTBRUSH MEDICAL CENTER PC
Location Address610 WILLOW STUpton, WY 82730-5144
Mailing Address610 Willow StUpton, WY 82730-5144 · (605) 641-2933
Organization SubpartNo
Authorized OfficialMelaynee TrandahlOwner · (605) 641-2933
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
NPI 1689542995 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
610 WILLOW ST, Upton, WY 82730

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

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 53D2334602

Paintbrush Medical Center · Upton, WY
Active · expires Nov 23, 2027
CLIA Number53D2334602
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorMelaynee Trandahl
Laboratory Phone(307) 281-6320
Laboratory LocationPaintbrush Medical Center610 Willow Street, Upton, WY 82730
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
610 WILLOW ST
UPTON, WY 82730

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 Paintbrush Medical Center PC's NPI number?

The NPI number for Paintbrush Medical Center PC is 1689542995. It was assigned to this organization in the NPPES registry on October 28, 2025.

Where is Paintbrush Medical Center PC located?

Paintbrush Medical Center PC is located at 610 Willow St, Upton, WY 82730. The listed phone number is (605) 641-2933.

What is Paintbrush Medical Center PC's specialty?

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

Does Paintbrush Medical Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2334602) is associated with this NPI, valid through November 23, 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 Paintbrush Medical Center PC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.