Revival Wellness Llc

ActiveOrganizationFamily Medicine
NPI issued: October 24, 2025

Quick Facts

NPI Number
1790653533
TypeOrganization
StatusActive
SpecialtyFamily Medicine
Taxonomy207QA0505X — Family Medicine
Phone
(320) 491-0594
StateMN

NPI Validation Status: Verified

Valid 10-digit NPI number (1790653533)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 24, 2025)
Data source: CMS NPPES

Provider Overview

REVIVAL WELLNESS LLC is a Family Medicine provider based in Morris, MN who has been registered with CMS since 2025. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790653533
Provider TypeOrganization
StatusActive
Enumeration DateOctober 24, 2025

Practice Location

CityMorris
StateMN
ZIP Code56267
Phone(320) 491-0594

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207QA0505X
License StateMN

Mailing Address

CityMorris
StateMN
ZIP Code56267
Phone(320) 491-0594
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1790653533 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790653533for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790653533 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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3,796
Family Medicine Providers in the US

Similar Providers in Morris

No similar providers found in Morris.

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Housing & Redevelopment Authority Of Morris

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David Vermillion, M.D

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David Vanderkin, MD

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Peter Vienne, DO

Obstetrics & Gynecology

Thomas Kazmierczak, DO

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People Also Ask

What is Revival Wellness Llc's NPI number?
Revival Wellness Llc's NPI number is 1790653533, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Revival Wellness Llc's NPI currently active?
Yes, Revival Wellness Llc's NPI status is Active as of the latest CMS NPPES database updates.
What does Revival Wellness Llc specialize in?
Revival Wellness Llc specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207QA0505X.
Where does Revival Wellness Llc practice?
Revival Wellness Llc practices in Morris, MN 56267.
When was Revival Wellness Llc's NPI issued?
Revival Wellness Llc's NPI was issued on October 24, 2025.
What is Revival Wellness Llc's provider type?
Revival Wellness Llc is registered as an Organization under CMS NPI Type 2.