Revive Health and Wellness
NPI 1114794385ActiveOrganization· Nurse Practitioner, Family· Hot Springs, AR
Nurse Practitioner, Family in Hot Springs, Arkansas, registered in NPPES in December 2023. The authorized official on file is Courtney D. McKinney, APRN, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114794385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2023 |
| Last updated in NPPES | Feb 16, 2026 |
| Certified by provider | Feb 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 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 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 (AR) |
|---|
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