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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REVERE HEALTH PC
NPI 1093764805
Clinic/Center - Multi-Specialty in Provo, UT

Active since May 09, 2006CLIA 46D2303211 · Accreditation
1055 N 500 W, PROVO, UT 84604(801) 429-8000(801) 429-8150 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Jul 8, 2025, Mar 7, 2018 and 1 more (4 updates tracked since 2017).

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

NPI1093764805
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREVERE HEALTH PC
Location Address1055 N 500 WProvo, UT 84604-3305
Mailing Address1055 N 500 W, Credentialing DepartmentProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 429-8000
Fax(801) 429-8150
Organization SubpartNo
Authorized OfficialElizabeth HoytBusiness Office Director · (801) 354-8225
Enumeration DateMay 9, 2006
Last NPPES UpdateJune 15, 20264 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1093764805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1055 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Other Names 1

Doing Business AsRevere Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.Insurance ›

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, UT
Active · expires Mar 30, 2028
CLIA Number46D2303211
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorDr. Nicholas C. Thomson
Laboratory Phone(801) 429-8149
Laboratory LocationRevere Health East Bay Laboratory512 E Lakeview Parkway Suite 512, Provo, UT 84606
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY SAUNDERS
Family Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 812-5033
CRYSTAL C HUFFAKER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Utah County (801) 357-7327
SCOTT DELAFIELD EVANS MD
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Utah County (801) 373-7350
EVAN SCOTT NIELSEN MD
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Utah County (801) 373-7350
ROSANNE JOHNSON OLIVER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Utah County (801) 429-8095
LESLEE RONALD ADAMS NP
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Utah County (801) 357-7327
WYATT JAMES BOLES DO
Family Medicine
1055 N 500 W, BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
DR. REX F RIPPLINGER MD
Internal Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 429-8000

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 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.

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 53 days 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.