Revive Skin and Wound PLLC
NPI 1144186404 · Physician Assistant · Mooresville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Skin and Wound PLLC is a Physician Assistant organization in Mooresville, NC (NPI 1144186404).
Provider details
- NPI number
- 1144186404
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Hull, Owner/Provider(704) 727-6153
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
Under 1 yr in 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
- 2025-12-30
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Frequently asked questions
- What is Revive Skin and Wound PLLC's NPI number?
- Revive Skin and Wound PLLC's National Provider Identifier (NPI) is 1144186404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Skin and Wound PLLC?
- Revive Skin and Wound PLLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive Skin and Wound PLLC located?
- Revive Skin and Wound PLLC's practice location on file with NPPES is 116 Round Keep Ln, Mooresville, NC 28117-8091.
- What is Revive Skin and Wound PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Skin and Wound PLLC is (704) 727-6153.
- Does Revive Skin and Wound PLLC accept Medicare?
- Revive Skin and Wound PLLC 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 Revive Skin and Wound PLLC?
- The authorized official listed on Revive Skin and Wound PLLC's NPPES record is Jennifer Hull, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Skin and Wound PLLC's NPI active?
- Yes — Revive Skin and Wound PLLC's NPI (1144186404) is active in the NPPES registry as of the last update on 2025-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.