Revivify Wound Care and Soft Tissue Specialty
NPI 1497637342 · Nurse Practitioner · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revivify Wound Care and Soft Tissue Specialty is a Nurse Practitioner organization in Las Vegas, NV (NPI 1497637342).
Provider details
- NPI number
- 1497637342
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Natalie Gutierrez, Manager(702) 886-2269
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
- 2025-07-22
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Frequently asked questions
- What is Revivify Wound Care and Soft Tissue Specialty's NPI number?
- Revivify Wound Care and Soft Tissue Specialty's National Provider Identifier (NPI) is 1497637342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivify Wound Care and Soft Tissue Specialty?
- Revivify Wound Care and Soft Tissue Specialty is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revivify Wound Care and Soft Tissue Specialty located?
- Revivify Wound Care and Soft Tissue Specialty's practice location on file with NPPES is 4533 Merkel Bluff St, Las Vegas, NV 89147-5128.
- What is Revivify Wound Care and Soft Tissue Specialty's phone number?
- The practice phone number listed in the NPPES registry for Revivify Wound Care and Soft Tissue Specialty is (702) 886-2269.
- Does Revivify Wound Care and Soft Tissue Specialty accept Medicare?
- Revivify Wound Care and Soft Tissue Specialty 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 Revivify Wound Care and Soft Tissue Specialty?
- The authorized official listed on Revivify Wound Care and Soft Tissue Specialty's NPPES record is Natalie Gutierrez, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivify Wound Care and Soft Tissue Specialty's NPI active?
- Yes — Revivify Wound Care and Soft Tissue Specialty's NPI (1497637342) is active in the NPPES registry as of the last update on 2025-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.