REVIVE MENTAL HEALTH SOLUTIONS LLC
NPI 1538817416
Nurse Practitioner - Psychiatric/Mental Health in Stockton, KS

Active since March 10, 2022

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revive Mental Health Solutions Llc NPPES

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

REVIVE MENTAL HEALTH SOLUTIONS LLC (NPI 1538817416) is a healthcare organization registered as a psychiatric/mental health in Stockton, Kansas and active in the NPI registry since March 2022. The organization maintains 4 additional practice locations and lists Sonja Stice, Aprn, as its authorized official.

NPPES Registry Identity

NPI1538817416
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVIVE MENTAL HEALTH SOLUTIONS LLC
Location Address670 J RDStockton, KS 67669-8821
Mailing Address670 J RdStockton, KS 67669-8821 · (785) 425-8374 · Fax (785) 588-4623
Organization SubpartNo
Authorized OfficialSonja SticeAprn · (785) 302-1090
Enumeration DateMarch 10, 2022
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1538817416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
670 J RD, Stockton, KS 67669

Other Names 1

Doing Business AsRevive Mental Health Solutions Llc

Secondary Practice Locations 4

Location 1419 S Burlington AveHastings, NE 68901-5908 · Phone (785) 425-8374
Location 21301 Pine St Ste BHays, KS 67601-3570 · Phone (785) 302-1090 · Fax (785) 588-4623
Location 35505 Foxridge DrMission, KS 66202-1556 · Phone (785) 302-1090
Location 410826 Old Mill RdOmaha, NE 68154-2660 · Phone (785) 302-1090

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revive Mental Health Solutions Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKansasEnrollment IDO20220323002359Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revive Mental Health Solutions LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1578964037
1301 PINE ST STE B
Hays, KS 67601
(785) 302-1090
✔ PECOS✔ Accepts Medicare37 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 Revive Mental Health Solutions LLC's NPI number?

The NPI number for Revive Mental Health Solutions LLC is 1538817416. It was assigned to this organization in the NPPES registry on March 10, 2022.

Where is Revive Mental Health Solutions LLC located?

Revive Mental Health Solutions LLC is located at 670 J Rd, Stockton, KS 67669. The listed phone number is (785) 425-8374.

What is Revive Mental Health Solutions LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Revive Mental Health Solutions LLC enrolled in Medicare?

Yes. Revive Mental Health Solutions LLC is registered in the Medicare PECOS enrollment system.

When is Revive Mental Health Solutions LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kansas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Revive Mental Health Solutions LLC?

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

What insurance does Revive Mental Health Solutions LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Revive Mental Health Solutions 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 Revive Mental Health Solutions LLC was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.