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REVISION WELLNESS, LLC
NPI 1497390702
Clinic/Center in Berlin, MD

Active since November 11, 2019
11312 MANKLIN CREEK RD UNIT 5, BERLIN, MD 21811(443) 513-5000(888) 307-9020 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2023, Aug 15, 2023, Nov 3, 2020 and 4 more (7 updates tracked since 2019).

About Revision Wellness, Llc NPPES

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

REVISION WELLNESS, LLC (NPI 1497390702) is a healthcare organization registered as a clinic/center in Berlin, Maryland and active in the NPI registry since November 2019. The organization lists Angela Borrell, Owner -clinical Provider, as its authorized official.

NPPES Registry Identity

NPI1497390702
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVISION WELLNESS, LLC
Location Address11312 MANKLIN CREEK RD UNIT 5Berlin, MD 21811-4009
Mailing Address11312 Manklin Creek Rd Unit 5Berlin, MD 21811-4009 · (443) 513-0500 · Fax (888) 307-9020
Phone(443) 513-5000
Fax(888) 307-9020
Organization SubpartNo
Authorized OfficialAngela BorrellOwner -clinical Provider · (443) 513-0500
Enumeration DateNovember 11, 2019
Last NPPES UpdateJune 22, 20267 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1497390702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
11312 MANKLIN CREEK RD UNIT 5, Berlin, MD 21811
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Other Identifiers 3

Other1457683740MD · Individual Npi Associated With Revision Wellness
Medicaid722026000MD
Other1497390702MD · Group Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA BORRELL CRNP
Nurse Practitioner (Family)
11312 MANKLIN CREEK RD UNIT 5
BERLIN, MD 21811
Worcester County (443) 513-0500

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 Revision Wellness, LLC's NPI number?

The NPI number for Revision Wellness, LLC is 1497390702. It was assigned to this organization in the NPPES registry on November 11, 2019.

Where is Revision Wellness, LLC located?

Revision Wellness, LLC is located at 11312 Manklin Creek Rd Unit 5, Berlin, MD 21811. The listed phone number is (443) 513-5000.

What is Revision Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Revision Wellness, LLC was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.