1. Home
  2. Directory
  3. Kansas
  4. Overland Park
  5. Physician Assistant
  6. NPI Profile

RESTORED VITALITY MOBILE WOUND CARE LLC
NPI 1073300828
Physician Assistant in Overland Park, KS

Active since April 24, 2025
8833 BOND ST, OVERLAND PARK, KS 66214(785) 318-0907 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Restored Vitality Mobile Wound Care Llc NPPES

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

RESTORED VITALITY MOBILE WOUND CARE LLC (NPI 1073300828) is a healthcare organization registered as a physician assistant in Overland Park, Kansas and active in the NPI registry since April 2025. The organization maintains a secondary practice location in Lawrence and lists Kayla Davis-bimeal, Owner, as its authorized official.

NPPES Registry Identity

NPI1073300828
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameRESTORED VITALITY MOBILE WOUND CARE LLC
Location Address8833 BOND STOverland Park, KS 66214-1707
Mailing Address8833 Bond StOverland Park, KS 66214-1707
Phone(785) 318-0907
Organization SubpartNo
Authorized OfficialKayla Davis-bimealOwner · (913) 850-9048
Enumeration DateApril 24, 2025
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1073300828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
8833 BOND ST, Overland Park, KS 66214
Open in Google Maps ↗

Secondary Practice Location 1

Location 11505 Kasold Dr Ste 4Lawrence, KS 66047-1601 · Phone (785) 318-0901 · Fax (913) 214-2275

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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)

Restored Vitality Mobile Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Restored Vitality Mobile Wound Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Kayla Ballweg, APRN, NP-C
Nurse Practitioner
NPI 1265879258
7100 W 151ST ST
Overland Park, KS 66223
(913) 681-3950
✔ PECOS✔ Accepts Medicare8.3 mi
Anaya Kole, PMHNP-BC, FNP-C
Nurse Practitioner
NPI 1063066637
25055 W VALLEY PKWY STE 102
Olathe, KS 66061
(913) 494-8550
✔ PECOS✔ Accepts Medicare8.7 mi
Mary Davis Bimeal, FNP
Nurse Practitioner
NPI 1932510195
9800 TROUP AVE
Kansas City, KS 66111
(913) 297-7472
✔ PECOS✔ Accepts Medicare12 mi
Jane Swezey, APRN
Nurse Practitioner
NPI 1801411962
1819 MAIN ST
Parsons, KS 67357
(620) 421-6161
✔ PECOS✔ Accepts Medicare116 mi
Johnna Costello, FNP-C
Nurse Practitioner
NPI 1184968133
3311 E MURDOCK ST
Wichita, KS 67208
(316) 689-9107
✔ PECOS✔ Accepts Medicare165 mi
Bailey Murphy, DNP
Nurse Practitioner
NPI 1275008369
345 N RIVERVIEW ST STE 500
Wichita, KS 67203
(316) 616-1055
✔ PECOS✔ Accepts Medicare168 mi
Lori Senne, APRN
Nurse Practitioner
NPI 1740651397
610 GENESEO ST
Storm Lake, IA 50588
(913) 706-4406
✔ PECOS255 mi

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 Restored Vitality Mobile Wound Care LLC's NPI number?

The NPI number for Restored Vitality Mobile Wound Care LLC is 1073300828. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Restored Vitality Mobile Wound Care LLC located?

Restored Vitality Mobile Wound Care LLC is located at 8833 Bond St, Overland Park, KS 66214. The listed phone number is (785) 318-0907.

What is Restored Vitality Mobile Wound Care LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Restored Vitality Mobile Wound Care LLC enrolled in Medicare?

Yes. Restored Vitality Mobile Wound Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restored Vitality Mobile Wound Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Restored Vitality Mobile Wound Care 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Restored Vitality Mobile Wound Care LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Restored Vitality Mobile Wound Care LLC 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 Restored Vitality Mobile Wound Care LLC was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.