Reviving Wellness LLC
NPI 1053159996 · Adult Health Nurse Practitioner · Gilbert, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Reviving Wellness LLC is a Adult Health Nurse Practitioner organization in Gilbert, AZ (NPI 1053159996).
Provider details
- NPI number
- 1053159996
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Carrie Martinson, Owner(480) 923-9094
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-16
- Last updated
- 2024-08-23
- Certified
- 2024-08-20
Frequently asked questions
- What is Reviving Wellness LLC's NPI number?
- Reviving Wellness LLC's National Provider Identifier (NPI) is 1053159996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reviving Wellness LLC?
- Reviving Wellness LLC is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Reviving Wellness LLC located?
- Reviving Wellness LLC's practice location on file with NPPES is 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263.
- What is Reviving Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Reviving Wellness LLC is (480) 923-9094.
- Does Reviving Wellness LLC accept Medicare?
- Reviving Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Reviving Wellness LLC?
- The authorized official listed on Reviving Wellness LLC's NPPES record is Carrie Martinson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reviving Wellness LLC's NPI active?
- Yes — Reviving Wellness LLC's NPI (1053159996) is active in the NPPES registry as of the last update on 2024-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.