REVIVE WELLNESS
NPI 1639885171
Clinic/Center - Mental Health (Including Community Mental Health Center) in Crookston, MN

Q: What is Revive Wellness's NPI number?

The NPI number for Revive Wellness is 1639885171. It was assigned to this organization in the NPPES registry on January 27, 2023. The provider is doing business as Jessica Shockman.

Q: What is Revive Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Revive Wellness was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since January 27, 2023

116 W ROBERT ST STE 2B, CROOKSTON, MN 56716(218) 289-7023 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revive Wellness NPPES

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

REVIVE WELLNESS (NPI 1639885171), doing business as Jessica Shockman, is a healthcare organization registered as a mental health (including community mental health center) in Crookston, Minnesota and active in the NPI registry since January 2023. The organization lists Jessica Nichole Shockman, Mental Health Professional, as its authorized official.

NPPES Registry Identity

NPI1639885171

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameREVIVE WELLNESS

Location Address116 W ROBERT ST STE 2BCrookston, MN 56716-1709

Mailing Address116 W Robert St Ste 2bCrookston, MN 56716-1709 · (218) 289-7023

Phone(218) 289-7023

Organization SubpartNo

Authorized OfficialJessica Nichole ShockmanMental Health Professional · (218) 289-7023

Enumeration DateJanuary 27, 2023

NPPES CertifiedJanuary 27, 2023

✔ NPI 1639885171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

116 W ROBERT ST STE 2B, Crookston, MN 56716

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Other Names 1

Doing Business AsJessica Shockman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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 Wellness's NPI number?

The NPI number for Revive Wellness is 1639885171. It was assigned to this organization in the NPPES registry on January 27, 2023. The provider is doing business as Jessica Shockman.

Where is Revive Wellness located?

Revive Wellness is located at 116 W Robert St Ste 2B, Crookston, MN 56716. The listed phone number is (218) 289-7023.

What is Revive Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Revive Wellness accept?

Health plans from Sanford Health Plan list Revive Wellness 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 Wellness was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.