YOUTH REVITALIZED HEALTH AND WELLNESS LLC
NPI 1265375281
General Practice in Gilmer, TX
About Youth Revitalized Health And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOUTH REVITALIZED HEALTH AND WELLNESS LLC (NPI 1265375281) is a healthcare organization registered as a general practice in Gilmer, Texas and active in the NPI registry since April 2026. The organization lists March E Gray, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Youth Revitalized Health And Wellness Llc 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 Youth Revitalized Health And Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Youth Revitalized Health And Wellness LLC's NPI number?
The NPI number for Youth Revitalized Health And Wellness LLC is 1265375281. It was assigned to this organization in the NPPES registry on April 13, 2026.
Where is Youth Revitalized Health And Wellness LLC located?
Youth Revitalized Health And Wellness LLC is located at 602 Titus St Ste 120, Gilmer, TX 75644. The listed phone number is (903) 843-5585.
What is Youth Revitalized Health And Wellness LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Youth Revitalized Health And Wellness LLC enrolled in Medicare?
Yes. Youth Revitalized Health And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Youth Revitalized Health And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Youth Revitalized 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Youth Revitalized Health And Wellness LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Youth Revitalized 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 Youth Revitalized Health And Wellness LLC was last updated on April 13, 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.
# Youth Revitalized Health And Wellness Llc · NPI 1265375281
General Practice organization in Gilmer, Texas. Organization record, active in the CMS NPPES registry since April 13, 2026.
## Identity
- **NPI:** 1265375281 (Entity type: Organization)
- **Enumerated:** April 13, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** March Gray, OWNER
## Practice location
- **Address:** 602 TITUS ST STE 120, Gilmer, TX 75644-1779
- **Phone:** (903) 843-5585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265375281) · Data from the CMS NPPES public registry.