REVIVE CENTER FOR HEALTH & WELLNESS
NPI 1548917594
Nurse Practitioner - Family in Vernon, CT
About Revive Center For Health & Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE CENTER FOR HEALTH & WELLNESS (NPI 1548917594) is a healthcare organization registered as a family in Vernon, Connecticut and active in the NPI registry since March 2022. The organization lists Jennifer Maria Sousa Jerome, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 Center For Health & Wellness 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 Center For Health & Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Center For Health & Wellness's NPI number?
The NPI number for Revive Center For Health & Wellness is 1548917594. It was assigned to this organization in the NPPES registry on March 9, 2022.
Where is Revive Center For Health & Wellness located?
Revive Center For Health & Wellness is located at 281 Hartford Tpke Ste 106, Vernon, CT 06066. The listed phone number is (860) 375-2227.
What is Revive Center For Health & Wellness's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Revive Center For Health & Wellness enrolled in Medicare?
Yes. Revive Center For Health & Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Center For Health & Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Revive Center For Health & Wellness. 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 Center For Health & Wellness was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Revive Center For Health & Wellness · NPI 1548917594
Family organization in Vernon, Connecticut. Organization record, active in the CMS NPPES registry since March 9, 2022.
## Identity
- **NPI:** 1548917594 (Entity type: Organization)
- **Enumerated:** March 9, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Jerome, NURSE PRACTITIONER
## Practice location
- **Address:** 281 HARTFORD TPKE STE 106, Vernon, CT 06066-4760
- **Phone:** (860) 375-2227 · **Fax:** (860) 603-5080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2026
- **Other identifiers:** Medicaid 1134661531 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1548917594) · Data from the CMS NPPES public registry.