Revive Wellness and Beauty, LLC
NPI 1265230148 · Family Nurse Practitioner · San Tan Valley, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Wellness and Beauty, LLC is a Family Nurse Practitioner organization in San Tan Valley, AZ (NPI 1265230148).
Provider details
- NPI number
- 1265230148
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kristina Mckinzie, Owner(619) 201-0835
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
- 2025-03-05
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Frequently asked questions
- What is Revive Wellness and Beauty, LLC's NPI number?
- Revive Wellness and Beauty, LLC's National Provider Identifier (NPI) is 1265230148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Wellness and Beauty, LLC?
- Revive Wellness and Beauty, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive Wellness and Beauty, LLC located?
- Revive Wellness and Beauty, LLC's practice location on file with NPPES is 10593 E American Pride Dr, San Tan Valley, AZ 85143-7978.
- What is Revive Wellness and Beauty, LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Wellness and Beauty, LLC is (619) 201-0835.
- Does Revive Wellness and Beauty, LLC accept Medicare?
- Revive Wellness and Beauty, 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 Wellness and Beauty, LLC?
- The authorized official listed on Revive Wellness and Beauty, LLC's NPPES record is Kristina Mckinzie, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Wellness and Beauty, LLC's NPI active?
- Yes — Revive Wellness and Beauty, LLC's NPI (1265230148) is active in the NPPES registry as of the last update on 2025-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.