PREMIER PEDIATRICS WISCONSIN LLC
NPI 1730984774
Clinic/Center - Primary Care in Waukesha, WI

Active since February 14, 2025CLIA 52D2319802 · Waiver
2607 N GRANDVIEW BLVD STE 104, WAUKESHA, WI 53188(262) 217-0939 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Pediatrics Wisconsin Llc NPPES

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

PREMIER PEDIATRICS WISCONSIN LLC (NPI 1730984774), doing business as Thrive Pediatrics, is a healthcare organization registered as a primary care in Waukesha, Wisconsin and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Elizabeth Kurowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1730984774
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMIER PEDIATRICS WISCONSIN LLC
Location Address2607 N GRANDVIEW BLVD STE 104Waukesha, WI 53188-1690
Mailing Address2607 N Grandview Blvd Ste 104Waukesha, WI 53188-1690 · (262) 217-0939
Organization SubpartNo
Authorized OfficialElizabeth KurowskiOwner · (515) 419-2975
Enumeration DateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
NPI 1730984774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2607 N GRANDVIEW BLVD STE 104, Waukesha, WI 53188

Other Names 1

Doing Business AsThrive Pediatrics

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 52D2319802

Premier Pediatrics Wi LLC Dba Thrive Pediatrics · Waukesha, WI
Active · expires Mar 6, 2027
CLIA Number52D2319802
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorDr. Elizabeth V. Kurowski
Laboratory Phone(262) 217-0939
Laboratory LocationPremier Pediatrics Wi LLC Dba Thrive Pediatrics2607 N Grandview Blvd Suite 104, Waukesha, WI 53188
CLIA data matches this NPI record on: Address Name Phone
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.

Pediatrics
2607 N GRANDVIEW BLVD STE 104
WAUKESHA, WI 53188

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 Premier Pediatrics Wisconsin LLC's NPI number?

The NPI number for Premier Pediatrics Wisconsin LLC is 1730984774. It was assigned to this organization in the NPPES registry on February 14, 2025. The provider is doing business as Thrive Pediatrics.

Where is Premier Pediatrics Wisconsin LLC located?

Premier Pediatrics Wisconsin LLC is located at 2607 N Grandview Blvd Ste 104, Waukesha, WI 53188. The listed phone number is (262) 217-0939.

What is Premier Pediatrics Wisconsin LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Premier Pediatrics Wisconsin LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2319802) is associated with this NPI, valid through March 6, 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 Premier Pediatrics Wisconsin LLC was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.