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NPI · 1760093025 · NPPES-sourced

Revitalized Wellness PLLC

ActivePrimary Care Clinic
NPI Number
1760093025
Type 2 · Organisation
Taxonomy Code
261QP2300X
Contact
(605) 423-7557
Primary practice line
Last Updated
Enumerated
Primary practice addressSD · 57103-7038
326 E 8th St Apt 206Sioux Falls, SD 57103-7038
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About this NPIWhat this record shows.

NPI 1760093025 is registered to Revitalized Wellness PLLC, a healthcare organisation classified as "Primary Care Clinic" and located at 326 E 8th St Apt 206 in Sioux Falls, South Dakota. The organisation's authorised official is Kristi Ross. The organisation has been enumerated in the NPI registry since 2020.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Revitalized Wellness PLLC accepts. To confirm in-network status with your specific health plan, contact Revitalized Wellness PLLC directly at (605) 423-7557.

Frequently asked

Yes. NPI 1760093025 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (605) 423-7557.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Revitalized Wellness PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QP2300X
Last updated
Enumerated
StatusActive
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