REVISION WELLNESS, LLC
NPI 1497390702
Clinic/Center in Berlin, MD
NPI Status: Active since November 11, 2019
Contact Information
11312 MANKLIN CREEK RD UNIT 5
BERLIN, MD
ZIP 21811
Phone: (443) 513-5000
Fax: (888) 307-9020
- Organization
- Clinic/Center
About REVISION WELLNESS, LLC
This page provides the complete NPI Profile along with additional information for Revision Wellness, Llc, a provider established in Berlin, Maryland operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1497390702 assigned on November 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Miss Angela Borrell Crnp (Owner -clinical Provider)
- NPI
- 1497390702
- Provider Name
- REVISION WELLNESS, LLC
- Entity Type
- Organization
- Location Address
- 11312 MANKLIN CREEK RD UNIT 5 BERLIN, MD 21811
- Location Phone
- (443) 513-5000
- Location Fax
- (888) 307-9020
- Mailing Address
- 11312 MANKLIN CREEK RD UNIT 5 BERLIN, MD 21811
- Mailing Phone
- (443) 513-0500
- Mailing Fax
- (888) 307-9020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-11-2019
- Last Update Date
- 02-14-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WP0808X | Nursing Service Providers | Registered Nurse | |
| 2 | 2083A0300X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 3 | 2083B0002X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 4 | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 5 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1457683740 | OTHER (01) | MD | INDIVIDUAL NPI ASSOCIATED WITH REVISION WELLNESS |
| 722026000 | MEDICAID (05) | MD | |
| 1497390702 | OTHER (01) | MD | GROUP NPI |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1497390702, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497390702, enumerated as an "organization" on November 11, 2019.
The provider is located at 11312 MANKLIN CREEK RD UNIT 5 BERLIN, MD 21811 and the phone number is (443) 513-5000.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
