Revive Health and Aesthetics, LLC
NPI 1073469870ActiveOrganization· Nurse Practitioner, Family· Elk City, OK
Nurse Practitioner, Family in Elk City, Oklahoma, registered in NPPES in March 2026. The authorized official on file is Katie J. Robinson, APRN-CNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073469870 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2026 |
| Last updated in NPPES | Mar 5, 2026 |
| Certified by provider | Mar 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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