Revive Healthcare Clinic LLC
NPI 1174349104 · Primary Care Nurse Practitioner · Irving, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Healthcare Clinic LLC is a Primary Care Nurse Practitioner organization in Irving, TX (NPI 1174349104).
Provider details
- NPI number
- 1174349104
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Chekwube Okoli, Owner(469) 567-9974
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
Other names (DBA / former)
- Former legal business name
- Revive Healthcare Clinic LLC
- Former legal business name
- Revive Healthcare Clinic LLC
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Frequently asked questions
- What is Revive Healthcare Clinic LLC's NPI number?
- Revive Healthcare Clinic LLC's National Provider Identifier (NPI) is 1174349104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Healthcare Clinic LLC?
- Revive Healthcare Clinic LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive Healthcare Clinic LLC located?
- Revive Healthcare Clinic LLC's practice location on file with NPPES is 1221 West Airport Fwy Ste# 209 Unit B, Irving, TX 75062.
- What is Revive Healthcare Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Healthcare Clinic LLC is (214) 777-2703.
- Does Revive Healthcare Clinic LLC accept Medicare?
- Revive Healthcare Clinic 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 Revive Healthcare Clinic LLC?
- The authorized official listed on Revive Healthcare Clinic LLC's NPPES record is Chekwube Okoli, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Healthcare Clinic LLC's NPI active?
- Yes — Revive Healthcare Clinic LLC's NPI (1174349104) is active in the NPPES registry as of the last update on 2025-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.