Revive Health and Wellness of Arkansas, PLLC
NPI 1548935646 · Family Nurse Practitioner · Little Rock, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Health and Wellness of Arkansas, PLLC is a Family Nurse Practitioner organization in Little Rock, AR (NPI 1548935646).
Provider details
- NPI number
- 1548935646
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lindsey Gillum, Mng Member(501) 779-8554
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
4 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 Lifestyle Medicine
- Doing business as
- Revive Lifestyle Medicine
Registry dates
- Enumerated
- 2021-08-11
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Frequently asked questions
- What is Revive Health and Wellness of Arkansas, PLLC's NPI number?
- Revive Health and Wellness of Arkansas, PLLC's National Provider Identifier (NPI) is 1548935646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Health and Wellness of Arkansas, PLLC?
- Revive Health and Wellness of Arkansas, PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive Health and Wellness of Arkansas, PLLC located?
- Revive Health and Wellness of Arkansas, PLLC's practice location on file with NPPES is 8114 Cantrell Rd Ste 201, Little Rock, AR 72227-2504.
- What is Revive Health and Wellness of Arkansas, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Health and Wellness of Arkansas, PLLC is (501) 779-8554.
- Does Revive Health and Wellness of Arkansas, PLLC accept Medicare?
- Revive Health and Wellness of Arkansas, PLLC 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 Health and Wellness of Arkansas, PLLC?
- The authorized official listed on Revive Health and Wellness of Arkansas, PLLC's NPPES record is Lindsey Gillum, Mng Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Health and Wellness of Arkansas, PLLC's NPI active?
- Yes — Revive Health and Wellness of Arkansas, PLLC's NPI (1548935646) is active in the NPPES registry as of the last update on 2022-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.