REVITALIZE HEALTH AND WELLNESS LLC
NPI 1255125019
Nurse Practitioner in Midwest City, OK
About Revitalize Health And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVITALIZE HEALTH AND WELLNESS LLC (NPI 1255125019) is a healthcare organization registered as a nurse practitioner in Midwest City, Oklahoma and active in the NPI registry since April 2025. The organization lists Bethany Bia, Part Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
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)
Revitalize Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Revitalize Health And Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Revitalize Health And Wellness LLC's NPI number?
The NPI number for Revitalize Health And Wellness LLC is 1255125019. It was assigned to this organization in the NPPES registry on April 7, 2025.
Where is Revitalize Health And Wellness LLC located?
Revitalize Health And Wellness LLC is located at 2801 Parklawn Dr Ste 404, Midwest City, OK 73110. The listed phone number is (405) 544-3046.
What is Revitalize Health And Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Revitalize Health And Wellness LLC enrolled in Medicare?
Yes. Revitalize Health And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revitalize Health And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Revitalize Health And Wellness LLC. 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 Revitalize Health And Wellness LLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Revitalize Health And Wellness LLC 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 Revitalize Health And Wellness LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Revitalize Health And Wellness Llc · NPI 1255125019
Nurse Practitioner organization in Midwest City, Oklahoma. Organization record, active in the CMS NPPES registry since April 7, 2025.
## Identity
- **NPI:** 1255125019 (Entity type: Organization)
- **Enumerated:** April 7, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Bethany Bia, PART OWNER
## Practice location
- **Address:** 2801 PARKLAWN DR STE 404, Midwest City, OK 73110-4211
- **Phone:** (405) 544-3046
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
- **Other identifiers:** Medicaid 1629739891 (OK); Medicaid 17770075764 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1255125019) · Data from the CMS NPPES public registry.