REVISION WELLNESS SC
NPI 1871459461
Pediatrics in Marshfield, WI

Active since December 29, 2025CLIA 52D2330154 · Waiver
203 W UPHAM ST, MARSHFIELD, WI 54449(715) 204-9697(715) 620-1355 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revision Wellness Sc NPPES

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

REVISION WELLNESS SC (NPI 1871459461) is a healthcare organization registered as a pediatrics in Marshfield, Wisconsin and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Amy Falk, Md, as its authorized official.

NPPES Registry Identity

NPI1871459461
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameREVISION WELLNESS SC
Location Address203 W UPHAM STMarshfield, WI 54449-1460
Mailing Address203 W Upham StMarshfield, WI 54449-1460
Fax(715) 620-1355
Organization SubpartNo
Authorized OfficialAmy FalkMd · (715) 204-9697
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
NPI 1871459461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
203 W UPHAM ST, Marshfield, WI 54449

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

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 52D2330154

Revision Wellness, Sc · Marshfield, WI
Active · expires Sep 10, 2027
CLIA Number52D2330154
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorAmy E. Falk
Laboratory Phone(715) 620-1355
Laboratory LocationRevision Wellness, Sc203 West Upham Street, Marshfield, WI 54449
CLIA data matches this NPI record on: Address 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.

Nurse Practitioner
203 W UPHAM ST
MARSHFIELD, WI 54449

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 Revision Wellness Sc's NPI number?

The NPI number for Revision Wellness Sc is 1871459461. It was assigned to this organization in the NPPES registry on December 29, 2025.

Where is Revision Wellness Sc located?

Revision Wellness Sc is located at 203 W Upham St, Marshfield, WI 54449. The listed phone number is (715) 204-9697.

What is Revision Wellness Sc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Revision Wellness Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2330154) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revision Wellness Sc was last updated on December 29, 2025. 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.