Advanced Health Revision PLLC
NPI 1235813114ActiveOrganization· Nurse Practitioner, Gerontology· Arlington, TX
Nurse Practitioner, Gerontology in Arlington, Texas, registered in NPPES in June 2023. The authorized official on file is Kimberly R. Neely, NP, Owner / Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235813114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2023 |
| Last updated in NPPES | Apr 15, 2026 |
| Certified by provider | Apr 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
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 (TX) |
|---|
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