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ADVANCED HEALTH REVISION PLLC
NPI 1235813114
Nurse Practitioner - Gerontology in Arlington, TX

Active since June 12, 2023
4201 INTERWAY PL, ARLINGTON, TX 76018(972) 978-2317(800) 782-4295 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Sep 9, 2025, Oct 17, 2023 and 2 more (5 updates tracked since 2023).

About Advanced Health Revision Pllc NPPES

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

ADVANCED HEALTH REVISION PLLC (NPI 1235813114) is a healthcare organization registered as a gerontology in Arlington, Texas and active in the NPI registry since June 2023. The organization lists Kimberly R Neely, Owner / Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1235813114
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameADVANCED HEALTH REVISION PLLC
Location Address4201 INTERWAY PLArlington, TX 76018-5668
Mailing Address661 E Main St Ste 200, Box 118Midlothian, TX 76065-3365 · (972) 903-4343 · Fax (800) 782-4295
Phone(972) 978-2317
Fax(800) 782-4295
Organization SubpartNo
Authorized OfficialKimberly R NeelyOwner / Nurse Practitioner · (972) 978-2317
Enumeration DateJune 12, 2023
Last NPPES UpdateApril 15, 20265 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1235813114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
4201 INTERWAY PL, Arlington, TX 76018
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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 Molina Healthcare.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)

Advanced Health Revision 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 Advanced Health Revision PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kimberly Neely, GNP
Nurse Practitioner
NPI 1841239738
4201 INTERWAY PL
Arlington, TX 76018
(972) 978-2317
✔ PECOS✔ Accepts MedicareSame address
Javanna Armstrong, AGNP
Nurse Practitioner
NPI 1447757398
2727 BOLTON BOONE DR STE 109
Desoto, TX 75115
(972) 283-2370
✔ PECOS✔ Accepts Medicare14 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 Advanced Health Revision PLLC's NPI number?

The NPI number for Advanced Health Revision PLLC is 1235813114. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Advanced Health Revision PLLC located?

Advanced Health Revision PLLC is located at 4201 Interway Pl, Arlington, TX 76018. The listed phone number is (972) 978-2317.

What is Advanced Health Revision PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Advanced Health Revision PLLC enrolled in Medicare?

Yes. Advanced Health Revision PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Health Revision PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Advanced Health Revision 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Health Revision PLLC accept?

Health plans from Molina Healthcare list Advanced Health Revision 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 Advanced Health Revision PLLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.