REVIVE WELLNESS BAR LLC
NPI 1982413365
Nurse Practitioner - Family in Saint Cloud, FL

Active since December 31, 2024
3988 MAGENTA PL, SAINT CLOUD, FL 34772(407) 791-0613 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revive Wellness Bar Llc NPPES

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

REVIVE WELLNESS BAR LLC (NPI 1982413365) is a healthcare organization registered as a family in Saint Cloud, Florida and active in the NPI registry since December 2024. The organization lists Sarah Yvette Sanchez, Owner-fnp-c, as its authorized official.

NPPES Registry Identity

NPI1982413365
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVIVE WELLNESS BAR LLC
Location Address3988 MAGENTA PLSaint Cloud, FL 34772-6411
Mailing Address3988 Magenta PlSaint Cloud, FL 34772-6411 · (407) 791-0613
Organization SubpartNo
Authorized OfficialSarah Yvette SanchezOwner-fnp-c · (407) 791-0613
Enumeration DateDecember 31, 2024
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1982413365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
3988 MAGENTA PL, Saint Cloud, FL 34772

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

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 Wellness Bar Llc 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 Wellness Bar LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1275202574
1955 JAN LAN BLVD
Saint Cloud, FL 34772
(407) 791-0613
✔ PECOS✔ Accepts Medicare3.9 mi

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 Wellness Bar LLC's NPI number?

The NPI number for Revive Wellness Bar LLC is 1982413365. It was assigned to this organization in the NPPES registry on December 31, 2024.

Where is Revive Wellness Bar LLC located?

Revive Wellness Bar LLC is located at 3988 Magenta Pl, Saint Cloud, FL 34772. The listed phone number is (407) 791-0613.

What is Revive Wellness Bar LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Revive Wellness Bar LLC enrolled in Medicare?

Yes. Revive Wellness Bar LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Wellness Bar LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Revive Wellness Bar LLC. 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 Wellness Bar LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.