REVITALIST
NPI 1073168241
Community/Behavioral Health in Knoxville, TN
About Revitalist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVITALIST (NPI 1073168241) is a healthcare organization registered as a community/behavioral health in Knoxville, Tennessee and active in the NPI registry since August 2019. The organization lists Kathryn Walker, Principal Employee, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revitalist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Revitalist, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Revitalist's NPI number?
The NPI number for Revitalist is 1073168241. It was assigned to this organization in the NPPES registry on August 5, 2019.
Where is Revitalist located?
Revitalist is located at 10608 Flickenger Ln, Knoxville, TN 37922. The listed phone number is (865) 392-6262.
What is Revitalist's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Revitalist enrolled in Medicare?
Yes. Revitalist is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revitalist?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Revitalist, in Certified Registered Nurse Anesthetist (CRNA), Clinical Social Worker, General Surgery, Mental Health Counselor and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Revitalist accept?
Health plans from Anthem Blue Cross and Blue Shield list Revitalist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Revitalist was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Revitalist · NPI 1073168241
Community/Behavioral Health organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since August 5, 2019.
## Identity
- **NPI:** 1073168241 (Entity type: Organization)
- **Enumerated:** August 5, 2019
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Kathryn Walker, PRINCIPAL EMPLOYEE
## Practice location
- **Address:** 10608 FLICKENGER LN, Knoxville, TN 37922-3485
- **Phone:** (865) 392-6262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (2), Nurse Practitioner (2), Clinical Social Worker (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1073168241) · Data from the CMS NPPES public registry.