Revive Clinic and Spa
NPI 1205479888 · Family Nurse Practitioner · Ankeny, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Clinic and Spa is a Family Nurse Practitioner organization in Ankeny, IA (NPI 1205479888).
Provider details
- NPI number
- 1205479888
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stefanie Gatica, Owner(515) 965-5677
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
6 yrs 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)
- Doing business as
- Revive Dermatology Clinic and Spa
Registry dates
- Enumerated
- 2019-10-25
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Frequently asked questions
- What is Revive Clinic and Spa's NPI number?
- Revive Clinic and Spa's National Provider Identifier (NPI) is 1205479888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Clinic and Spa?
- Revive Clinic and Spa is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive Clinic and Spa located?
- Revive Clinic and Spa's practice location on file with NPPES is 1850 Sw Plaza Shops Ln Ste a, Ankeny, IA 50023-7168.
- What is Revive Clinic and Spa's phone number?
- The practice phone number listed in the NPPES registry for Revive Clinic and Spa is (515) 965-5677.
- Does Revive Clinic and Spa accept Medicare?
- Revive Clinic and Spa 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 Clinic and Spa?
- The authorized official listed on Revive Clinic and Spa's NPPES record is Stefanie Gatica, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Clinic and Spa's NPI active?
- Yes — Revive Clinic and Spa's NPI (1205479888) is active in the NPPES registry as of the last update on 2024-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.