REVIVE PSYCHIATRY, PLLC
NPI 1699647701
Nurse Practitioner - Psychiatric/Mental Health in Durant, OK
About Revive Psychiatry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE PSYCHIATRY, PLLC (NPI 1699647701) is a healthcare organization registered as a psychiatric/mental health in Durant, Oklahoma and active in the NPI registry since September 2025. The organization lists Jonathan Kaminar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 Psychiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Revive Psychiatry, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Psychiatry, PLLC's NPI number?
The NPI number for Revive Psychiatry, PLLC is 1699647701. It was assigned to this organization in the NPPES registry on September 18, 2025.
Where is Revive Psychiatry, PLLC located?
Revive Psychiatry, PLLC is located at 720 Bryan Dr Ste C, Durant, OK 74701. The listed phone number is (580) 754-4164.
What is Revive Psychiatry, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Revive Psychiatry, PLLC enrolled in Medicare?
Yes. Revive Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Psychiatry, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Revive Psychiatry, PLLC. 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 Psychiatry, PLLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Revive Psychiatry, PLLC 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 Psychiatry, PLLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 Psychiatry, Pllc · NPI 1699647701
Psychiatric/Mental Health organization in Durant, Oklahoma. Organization record, active in the CMS NPPES registry since September 18, 2025.
## Identity
- **NPI:** 1699647701 (Entity type: Organization)
- **Enumerated:** September 18, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jonathan Kaminar, OWNER
## Practice location
- **Address:** 720 BRYAN DR STE C, Durant, OK 74701-7032
- **Phone:** (580) 754-4164 · **Fax:** (580) 359-0468
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699647701) · Data from the CMS NPPES public registry.