REVIVE CLINIC LLC
NPI 1003797176
Clinical Nurse Specialist - Psychiatric/Mental Health in Columbia, MD
About Revive Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE CLINIC LLC (NPI 1003797176) is a healthcare organization registered as a psychiatric/mental health in Columbia, Maryland and active in the NPI registry since September 2025. The organization lists Denisha Cuffee, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revive Clinic Llc 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 Revive Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Columbia, MD 21044
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Revive Clinic LLC's NPI number?
The NPI number for Revive Clinic LLC is 1003797176. It was assigned to this organization in the NPPES registry on September 8, 2025.
Where is Revive Clinic LLC located?
Revive Clinic LLC is located at 10440 Little Patuxent Pkwy Ste 300, Columbia, MD 21044. The listed phone number is (240) 744-0540.
What is Revive Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.
Is Revive Clinic LLC enrolled in Medicare?
Yes. Revive Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Revive Clinic LLC. 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.
When was this NPI record last updated?
The NPPES record for Revive Clinic LLC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Revive Clinic Llc · NPI 1003797176
Psychiatric/Mental Health organization in Columbia, Maryland. Organization record, active in the CMS NPPES registry since September 8, 2025.
## Identity
- **NPI:** 1003797176 (Entity type: Organization)
- **Enumerated:** September 8, 2025
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health · taxonomy 364SP0808X
- **Organization subpart:** No
- **Authorized official:** Denisha Cuffee, OWNER/PROVIDER
## Practice location
- **Address:** 10440 LITTLE PATUXENT PKWY STE 300, Columbia, MD 21044-3648
- **Phone:** (240) 744-0540 · **Fax:** (866) 538-1415
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003797176) · Data from the CMS NPPES public registry.