REVAYA WELLNESS, PLLC
NPI 1083573307
Family Medicine - Adult Medicine in San Marcos, TX

Active since January 21, 2026
2001 MEDICAL PKWY STE C, SAN MARCOS, TX 78666(512) 360-8144 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revaya Wellness, Pllc NPPES

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

REVAYA WELLNESS, PLLC (NPI 1083573307) is a healthcare organization registered as an adult medicine in San Marcos, Texas and active in the NPI registry since January 2026. The organization lists Cara Grant, Co/owner, as its authorized official.

NPPES Registry Identity

NPI1083573307
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameREVAYA WELLNESS, PLLC
Location Address2001 MEDICAL PKWY STE CSan Marcos, TX 78666-7581
Mailing Address2001 Medical Pkwy Ste CSan Marcos, TX 78666-7581 · (512) 360-8144
Organization SubpartNo
Authorized OfficialCara GrantCo/owner · (512) 360-8144
Enumeration DateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1083573307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2001 MEDICAL PKWY STE C, San Marcos, TX 78666

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

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)

Revaya Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Revaya Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1992576391
2001 MEDICAL PKWY STE C
San Marcos, TX 78666
(512) 360-8144
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568264356
2001 MEDICAL PKWY STE C
San Marcos, TX 78666
(512) 360-8144
✔ 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.

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 Revaya Wellness, PLLC's NPI number?

The NPI number for Revaya Wellness, PLLC is 1083573307. It was assigned to this organization in the NPPES registry on January 21, 2026.

Where is Revaya Wellness, PLLC located?

Revaya Wellness, PLLC is located at 2001 Medical Pkwy Ste C, San Marcos, TX 78666. The listed phone number is (512) 360-8144.

What is Revaya Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Revaya Wellness, PLLC enrolled in Medicare?

Yes. Revaya Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revaya Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Revaya 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revaya Wellness, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Revaya Wellness, PLLC 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 Revaya Wellness, PLLC was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.