REVIVIFY WOUND CARE AND SOFT TISSUE SPECIALTY
NPI 1497637342
Nurse Practitioner in Las Vegas, NV

Q: What is Revivify Wound Care And Soft Tissue Specialty's specialty?

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

Active since July 22, 2025

4533 MERKEL BLUFF ST, LAS VEGAS, NV 89147(702) 886-2269 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Revivify Wound Care And Soft Tissue Specialty NPPES

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

REVIVIFY WOUND CARE AND SOFT TISSUE SPECIALTY (NPI 1497637342) is a healthcare organization registered as a nurse practitioner in Las Vegas, Nevada and active in the NPI registry since July 2025. The organization lists Natalie Gutierrez, Manager, as its authorized official.

NPPES Registry Identity

NPI1497637342

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameREVIVIFY WOUND CARE AND SOFT TISSUE SPECIALTY

Location Address4533 MERKEL BLUFF STLas Vegas, NV 89147-5128

Mailing Address4533 Merkel Bluff StLas Vegas, NV 89147-5128 · (702) 886-2269

Phone(702) 886-2269

Organization SubpartNo

Authorized OfficialNatalie GutierrezManager · (702) 886-2269

Enumeration DateJuly 22, 2025

NPPES CertifiedJuly 22, 2025

✔ NPI 1497637342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4533 MERKEL BLUFF ST, Las Vegas, NV 89147

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revivify Wound Care And Soft Tissue Specialty 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 Revivify Wound Care And Soft Tissue Specialty, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Natalie Gutierrez, FNP

Nurse Practitioner

NPI 1811715717

4533 MERKEL BLUFF ST
Las Vegas, NV 89147

(702) 886-2269

✔ PECOS✔ Accepts MedicareSame address

Karren Corregidor, APRN

Nurse Practitioner

NPI 1376123265

5840 W SUNSET RD
Las Vegas, NV 89118

(702) 967-6100

✔ PECOS✔ Accepts Medicare3.8 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 Revivify Wound Care And Soft Tissue Specialty's NPI number?

The NPI number for Revivify Wound Care And Soft Tissue Specialty is 1497637342. It was assigned to this organization in the NPPES registry on July 22, 2025.

Where is Revivify Wound Care And Soft Tissue Specialty located?

Revivify Wound Care And Soft Tissue Specialty is located at 4533 Merkel Bluff St, Las Vegas, NV 89147. The listed phone number is (702) 886-2269.

What is Revivify Wound Care And Soft Tissue Specialty's specialty?

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

Is Revivify Wound Care And Soft Tissue Specialty enrolled in Medicare?

Yes. Revivify Wound Care And Soft Tissue Specialty is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revivify Wound Care And Soft Tissue Specialty?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Revivify Wound Care And Soft Tissue Specialty. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revivify Wound Care And Soft Tissue Specialty was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.