REVIVE CHIROPRACTIC AND WELLNESS
NPI 1104650316
Chiropractor in Camas, WA

Q: What is Revive Chiropractic And Wellness Center PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since August 29, 2024

6923 NW FRIBERG STRUNK ST STE 135, CAMAS, WA 98607(360) 953-3567 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Revive Chiropractic And Wellness NPPES

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

REVIVE CHIROPRACTIC AND WELLNESS (NPI 1104650316) is a healthcare organization registered as a chiropractor in Camas, Washington and active in the NPI registry since August 2024. The organization lists Elizabeth Anne Vader, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1104650316

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameREVIVE CHIROPRACTIC AND WELLNESS CENTER PLLC

Location Address6923 NW FRIBERG STRUNK ST STE 135Camas, WA 98607-7796

Mailing Address15306 Ne 19th StVancouver, WA 98684-2811 · (360) 953-3567

Phone(360) 953-3567

Organization SubpartNo

Authorized OfficialElizabeth Anne VaderChiropractor · (360) 953-3567

Enumeration DateAugust 29, 2024

Last NPPES UpdateSeptember 18, 2024

NPPES CertifiedSeptember 18, 2024

✔ NPI 1104650316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

6923 NW FRIBERG STRUNK ST STE 135, Camas, WA 98607

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Other Names 1

Doing Business AsRevive Chiropractic And Wellness

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 BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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 Chiropractic And Wellness 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 Chiropractic And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Vader, DC

Chiropractic

NPI 1639894330

105 N PARKWAY AVE
Battle Ground, WA 98604

(360) 666-6001

✔ Accepts Medicare11 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 Revive Chiropractic And Wellness Center PLLC's NPI number?

The NPI number for Revive Chiropractic And Wellness Center PLLC is 1104650316. It was assigned to this organization in the NPPES registry on August 29, 2024. The provider is doing business as Revive Chiropractic And Wellness.

Where is Revive Chiropractic And Wellness Center PLLC located?

Revive Chiropractic And Wellness Center PLLC is located at 6923 NW Friberg Strunk St Ste 135, Camas, WA 98607. The listed phone number is (360) 953-3567.

What is Revive Chiropractic And Wellness Center PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Revive Chiropractic And Wellness Center PLLC enrolled in Medicare?

Yes. Revive Chiropractic And Wellness Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Chiropractic And Wellness Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Revive Chiropractic And Wellness Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revive Chiropractic And Wellness Center PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Revive Chiropractic And Wellness Center 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 Revive Chiropractic And Wellness Center PLLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.