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REVIVE INFUSION & WELLNESS, LLC
NPI 1407792054
Clinic/Center - Multi-Specialty in Corpus Christi, TX

Active since April 27, 2026
14330 S PADRE ISLAND DR STE 114, CORPUS CHRISTI, TX 78418(833) 248-3747(361) 236-2415 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Revive Infusion & Wellness, Llc NPPES

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

REVIVE INFUSION & WELLNESS, LLC (NPI 1407792054) is a healthcare organization registered as a multi-specialty in Corpus Christi, Texas and active in the NPI registry since April 2026. The organization maintains 4 additional practice locations and lists Andrea Holley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407792054
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREVIVE INFUSION & WELLNESS, LLC
Location Address14330 S PADRE ISLAND DR STE 114Corpus Christi, TX 78418-6090
Mailing Address14330 S Padre Island Dr Ste 114Corpus Christi, TX 78418-6090 · (833) 248-3747 · Fax (361) 236-2415
Phone(833) 248-3747
Fax(361) 236-2415
Organization SubpartNo
Authorized OfficialAndrea HolleyCeo · (409) 682-5403
Enumeration DateApril 27, 2026
Last NPPES UpdateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1407792054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
14330 S PADRE ISLAND DR STE 114, Corpus Christi, TX 78418
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Secondary Practice Locations 4

Location 11833 Broadway St Unit GRockport, TX 78382-3540 · Phone (833) 248-3747 · Fax (361) 236-2415
Location 22702 Highway 35 N Ste 2716Rockport, TX 78382-5709 · Phone (833) 248-3747 ext. 3 · Fax (361) 236-2415
Location 3900 N Shoreline BlvdCorpus Christi, TX 78401-2009 · Phone (833) 248-3747 ext. 2 · Fax (361) 236-2415
Location 413434 Leopard St Ste A10Corpus Christi, TX 78410-4466 · Phone (833) 248-3747 ext. 4 · Fax (361) 236-2415

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 Infusion & 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 Revive Infusion & Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrea Holley, FNP
Nurse Practitioner
NPI 1316690456
14330 S PADRE ISLAND DR STE 114
Corpus Christi, TX 78418
(833) 248-3747
✔ PECOSSame address

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 Infusion & Wellness, LLC's NPI number?

The NPI number for Revive Infusion & Wellness, LLC is 1407792054. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Revive Infusion & Wellness, LLC located?

Revive Infusion & Wellness, LLC is located at 14330 S Padre Island Dr Ste 114, Corpus Christi, TX 78418. The listed phone number is (833) 248-3747.

What is Revive Infusion & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Revive Infusion & Wellness, LLC enrolled in Medicare?

Yes. Revive Infusion & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Infusion & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Revive Infusion & 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.

When was this NPI record last updated?

The NPPES record for Revive Infusion & Wellness, LLC was last updated on April 29, 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.