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

MIND REVIVE PSYCHIATRY LLC
NPI 1285230185
Nurse Practitioner in Lakeland, FL

Q: What is Mind Revive Psychiatry LLC's NPI number?

The NPI number for Mind Revive Psychiatry LLC is 1285230185. It was assigned to this organization in the NPPES registry on December 7, 2020.

Q: What is Mind Revive Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since December 07, 2020

4755 DRANE FIELD RD STE 103, LAKELAND, FL 33811(407) 602-3380(833) 410-2620 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Aug 22, 2023, Dec 7, 2020 (3 updates tracked since 2020).

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About Mind Revive Psychiatry Llc NPPES

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

MIND REVIVE PSYCHIATRY LLC (NPI 1285230185) is a healthcare organization registered as a nurse practitioner in Lakeland, Florida and active in the NPI registry since December 2020. The organization lists Marcus L Robinson, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1285230185

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMIND REVIVE PSYCHIATRY LLC

Location Address4755 DRANE FIELD RD STE 103Lakeland, FL 33811-1259

Mailing Address4313 S Florida Ave # 1090Lakeland, FL 33813-1654 · (407) 602-3380 · Fax (833) 410-2620

Phone(407) 602-3380

Fax(833) 410-2620

Organization SubpartNo

Authorized OfficialMarcus L RobinsonPsychiatric Nurse Practitioner · (407) 602-3380

Enumeration DateDecember 7, 2020

Last NPPES UpdateSeptember 24, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1285230185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

4755 DRANE FIELD RD STE 103, Lakeland, FL 33811

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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)

Mind Revive Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mind Revive Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Marcus Robinson, ARNP, PMHNP-BC

Nurse Practitioner

NPI 1740736537

4755 DRANE FIELD RD STE 103
Lakeland, FL 33811

(407) 602-3380

✔ PECOS✔ Accepts MedicareSame address

Sharon Gardner, ARNP

Nurse Practitioner

NPI 1205999703

1201 FIRST STR S
Winter Haven, FL 33880

(863) 297-1702

✔ PECOS✔ Accepts Medicare19 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 Mind Revive Psychiatry LLC's NPI number?

The NPI number for Mind Revive Psychiatry LLC is 1285230185. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Mind Revive Psychiatry LLC located?

Mind Revive Psychiatry LLC is located at 4755 Drane Field Rd Ste 103, Lakeland, FL 33811. The listed phone number is (407) 602-3380.

What is Mind Revive Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mind Revive Psychiatry LLC enrolled in Medicare?

Yes. Mind Revive Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Revive Psychiatry LLC?

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

What insurance does Mind Revive Psychiatry LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Mind Revive Psychiatry 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 Mind Revive Psychiatry LLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.