Revitalize Health and Wellness LLC
NPI 1255125019 · Nurse Practitioner · Choctaw, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalize Health and Wellness LLC is a Nurse Practitioner organization in Choctaw, OK (NPI 1255125019).
Provider details
- NPI number
- 1255125019
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Bethany Bia, Part Owner(918) 633-0622
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
- 2025-04-07
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Revitalize Health and Wellness LLC's NPI number?
- Revitalize Health and Wellness LLC's National Provider Identifier (NPI) is 1255125019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Health and Wellness LLC?
- Revitalize Health and Wellness LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revitalize Health and Wellness LLC located?
- Revitalize Health and Wellness LLC's practice location on file with NPPES is 16339 Silver Spring Dr, Choctaw, OK 73020-5807.
- What is Revitalize Health and Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Health and Wellness LLC is (918) 633-0622.
- Does Revitalize Health and Wellness LLC accept Medicare?
- Revitalize Health and 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 Revitalize Health and Wellness LLC?
- The authorized official listed on Revitalize Health and Wellness LLC's NPPES record is Bethany Bia, Part Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Health and Wellness LLC's NPI active?
- Yes — Revitalize Health and Wellness LLC's NPI (1255125019) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.