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REVITALIZED WELLNESS PLLC
NPI 1760093025
Clinic/Center - Primary Care in Sioux Falls, SD

Active since August 11, 2020CLIA 38D2270000 · Waiver
326 E 8TH ST APT 206, SIOUX FALLS, SD 57103(605) 423-7557(605) 305-1175 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Jul 22, 2021, Nov 20, 2020 and 1 more (4 updates tracked since 2020).

About Revitalized Wellness Pllc NPPES

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

REVITALIZED WELLNESS PLLC (NPI 1760093025) is a healthcare organization registered as a primary care in Sioux Falls, South Dakota and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through October 5, 2026, maintains 2 additional practice locations, and lists Kristi Lynn Ross, Owner, as its authorized official.

NPPES Registry Identity

NPI1760093025
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREVITALIZED WELLNESS PLLC
Location Address326 E 8TH ST APT 206Sioux Falls, SD 57103-7038
Mailing Address401 E 8th St Ste 214-7054Sioux Falls, SD 57103-7011 · (605) 423-7557 · Fax (605) 305-1175
Phone(605) 423-7557
Fax(605) 305-1175
Organization SubpartNo
Authorized OfficialKristi Lynn RossOwner · (251) 979-9825
Enumeration DateAugust 11, 2020
Last NPPES UpdateMarch 7, 20244 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1760093025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
326 E 8TH ST APT 206, Sioux Falls, SD 57103
Open in Google Maps ↗

Secondary Practice Locations 2

Location 174 E 18th Ave Ste 12Eugene, OR 97401-4081 · Phone (605) 423-7557 · Fax (605) 305-1175
Location 26310 Bayshore Rd # 240Palmetto, FL 34221-8429 · Phone (605) 423-7557 · Fax (605) 305-1175

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2270000

Revitalized Wellness PLLC · Eugene, OR
Active · expires Oct 5, 2026
CLIA Number38D2270000
Laboratory TypePractitioner Other
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorKristi L. Ross
Laboratory Phone(541) 214-2786
Laboratory LocationRevitalized Wellness PLLC71 Centennial Loop Ste A, Eugene, OR 97401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTI ROSS
Nurse Practitioner (Family)
326 E 8TH ST APT 206
SIOUX FALLS, SD 57103
Minnehaha County (605) 423-7557

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 Revitalized Wellness PLLC's NPI number?

The NPI number for Revitalized Wellness PLLC is 1760093025. It was assigned to this organization in the NPPES registry on August 11, 2020.

Where is Revitalized Wellness PLLC located?

Revitalized Wellness PLLC is located at 326 E 8th St Apt 206, Sioux Falls, SD 57103. The listed phone number is (605) 423-7557.

What is Revitalized Wellness PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Revitalized Wellness PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2270000) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Revitalized Wellness PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Revitalized Wellness 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 Revitalized Wellness PLLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.