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THRIVEWELL HEALTH AND WELLNESS PLLC
NPI 1790610913
Nurse Practitioner - Family in Washington, NC

Active since June 17, 2026CLIA 34D2346436 · Microscopy
2005 W 15TH ST, WASHINGTON, NC 27889(252) 833-5245(252) 833-5244 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thrivewell Health And Wellness Pllc NPPES

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

THRIVEWELL HEALTH AND WELLNESS PLLC (NPI 1790610913) is a healthcare organization registered as a family in Washington, North Carolina and active in the NPI registry since June 2026. The organization holds a CLIA Microscopy certificate valid through June 29, 2028 and lists Stephanie Mills Wynn, Owner, as its authorized official.

NPPES Registry Identity

NPI1790610913
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHRIVEWELL HEALTH AND WELLNESS PLLC
Location Address2005 W 15TH STWashington, NC 27889-3591
Mailing Address2005 W 15th StWashington, NC 27889-3591 · (252) 833-5245 · Fax (252) 833-5244
Phone(252) 833-5245
Fax(252) 833-5244
Organization SubpartNo
Authorized OfficialStephanie Mills WynnOwner · (252) 833-5245
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1790610913 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
2005 W 15TH ST, Washington, NC 27889
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Thrivewell Health And Wellness Pllc 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 Thrivewell Health And Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephanie Wynn, RN, MSN, FNP-C
Nurse Practitioner
NPI 1063765345
2005 W 15TH ST
Washington, NC 27889
(252) 833-5245
✔ 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 for Provider-Performed Microscopy Procedures (PPMP) 34D2346436

Thrivewell Health And Wellness, PLLC · Washington, NC
Active · expires Jun 29, 2028
CLIA Number34D2346436
Laboratory TypeIndependent
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorStephanie M. Wynn
Laboratory Phone(252) 833-5245
Laboratory LocationThrivewell Health And Wellness, PLLC2005 W 15th St, Washington, NC 27889
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Thrivewell Health And Wellness PLLC's NPI number?

The NPI number for Thrivewell Health And Wellness PLLC is 1790610913. It was assigned to this organization in the NPPES registry on June 17, 2026.

Where is Thrivewell Health And Wellness PLLC located?

Thrivewell Health And Wellness PLLC is located at 2005 W 15th St, Washington, NC 27889. The listed phone number is (252) 833-5245.

What is Thrivewell Health And Wellness PLLC's specialty?

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

Is Thrivewell Health And Wellness PLLC enrolled in Medicare?

Yes. Thrivewell Health And Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thrivewell Health And Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Thrivewell Health And Wellness PLLC. 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 Thrivewell Health And Wellness PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2346436) is associated with this NPI, valid through June 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thrivewell Health And Wellness PLLC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.