REVERE HEALTH PC
NPI 1093764805
Clinic/Center - Multi-Specialty in Provo, UT
About Revere Health Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVERE HEALTH PC (NPI 1093764805), doing business as Revere Health, is a healthcare organization registered as a multi-specialty in Provo, Utah and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through March 30, 2028 and lists Elizabeth Hoyt, Business Office Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revere Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
418Medicare enrollment records show 418 clinicians reassign Medicare billing to Revere Health PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 230 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 39
Nearest to this location (20)
See all 418Source: 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 Accreditation 46D2303211
Revere Health East Bay Laboratory · Provo, UTFrequently 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 Revere Health PC's NPI number?
The NPI number for Revere Health PC is 1093764805. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Revere Health.
Where is Revere Health PC located?
Revere Health PC is located at 1055 N 500 W, Provo, UT 84604. The listed phone number is (801) 429-8000.
What is Revere Health PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Revere Health PC enrolled in Medicare?
Yes. Revere Health PC is registered in the Medicare PECOS enrollment system.
When is Revere Health PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Revere Health PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 418 clinicians in 39 Medicare specialties reassign their Medicare billing to Revere Health PC. 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. The largest specialties are Nurse Practitioner (151), Family Practice (53) and Diagnostic Radiology (31). Of these, 5 practice at this address and 230 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Revere Health PC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 46D2303211) is associated with this NPI, valid through March 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Revere Health PC accept?
Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Revere Health PC 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 Revere Health PC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Revere Health Pc · NPI 1093764805
Multi-Specialty organization in Provo, Utah. Organization record, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1093764805 (Entity type: Organization)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Revere Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Elizabeth Hoyt, BUSINESS OFFICE DIRECTOR
## Practice location
- **Address:** 1055 N 500 W, Provo, UT 84604-3305
- **Phone:** (801) 429-8000 · **Fax:** (801) 429-8150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Nevada, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 418 clinicians in 39 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (151), Family Practice (53), Diagnostic Radiology (31); 5 practice at this address and 230 within 10 miles; [full list](https://npiprofile.com/npi/1093764805/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093764805) · Data from the CMS NPPES public registry.