Restored Vitality Mobile Wound Care LLC
NPI 1073300828ActiveOrganization· Physician Assistant· Overland Park, KS
Physician Assistant in Overland Park, Kansas, registered in NPPES in April 2025. The authorized official on file is Kayla Davis-Bimeal, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073300828 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2025 |
| Last updated in NPPES | Oct 20, 2025 |
| Certified by provider | Oct 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS) |
|---|
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