REVIVE HEALTH AND AESTHETICS, LLC
NPI 1073469870
Nurse Practitioner - Family in Elk City, OK
About Revive Health And Aesthetics, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE HEALTH AND AESTHETICS, LLC (NPI 1073469870) is a healthcare organization registered as a family in Elk City, Oklahoma and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Katie J Robinson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Revive Health And Aesthetics, 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 Health And Aesthetics, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 of Waiver 37D2343402
Revive Health & Aesthetics, LLC · Elk City, OKFrequently 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 Health And Aesthetics, LLC's NPI number?
The NPI number for Revive Health And Aesthetics, LLC is 1073469870. It was assigned to this organization in the NPPES registry on March 5, 2026.
Where is Revive Health And Aesthetics, LLC located?
Revive Health And Aesthetics, LLC is located at 1900 W 2nd St Ste D, Elk City, OK 73644. The listed phone number is (405) 226-3960.
What is Revive Health And Aesthetics, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Revive Health And Aesthetics, LLC enrolled in Medicare?
Yes. Revive Health And Aesthetics, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Health And Aesthetics, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Revive Health And Aesthetics, 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.
Does Revive Health And Aesthetics, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2343402) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Revive Health And Aesthetics, LLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Revive Health And Aesthetics, 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 Revive Health And Aesthetics, LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 Health And Aesthetics, Llc · NPI 1073469870
Family organization in Elk City, Oklahoma. Organization record, active in the CMS NPPES registry since March 5, 2026.
## Identity
- **NPI:** 1073469870 (Entity type: Organization)
- **Enumerated:** March 5, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Katie Robinson, OWNER
## Practice location
- **Address:** 1900 W 2ND ST STE D, Elk City, OK 73644-4328
- **Phone:** (405) 226-3960
## 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:** March 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073469870) · Data from the CMS NPPES public registry.