Revive Mental Wellness LLC
NPI 1326756347 · Psychiatric/Mental Health Nurse Practitioner · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Mental Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Boise, ID (NPI 1326756347).
Provider details
- NPI number
- 1326756347
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jynnah Schwartzwolf, Manager(208) 922-8298
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
3 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
Registry dates
- Enumerated
- 2022-11-08
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Revive Mental Wellness LLC's NPI number?
- Revive Mental Wellness LLC's National Provider Identifier (NPI) is 1326756347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Mental Wellness LLC?
- Revive Mental Wellness LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive Mental Wellness LLC located?
- Revive Mental Wellness LLC's practice location on file with NPPES is 200 N 23rd St Ste 106, Boise, ID 83702-4969.
- What is Revive Mental Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Mental Wellness LLC is (208) 398-3351.
- Does Revive Mental Wellness LLC accept Medicare?
- Revive Mental 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 Revive Mental Wellness LLC?
- The authorized official listed on Revive Mental Wellness LLC's NPPES record is Jynnah Schwartzwolf, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Mental Wellness LLC's NPI active?
- Yes — Revive Mental Wellness LLC's NPI (1326756347) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.