Mind Revive Psychiatry LLC
NPI 1285230185ActiveOrganization· Nurse Practitioner· Lakeland, FL
Nurse Practitioner in Lakeland, Florida, registered in NPPES in December 2020. The authorized official on file is Marcus L. Robinson, PMHNP-BC, Psychiatric Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1285230185 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2020 |
| Last updated in NPPES | Sep 24, 2026 |
| Certified by provider | Sep 24, 2026 |
Specialties and licenses
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 (FL); Part B Supplier - Clinic/Group Practice (NM) |
|---|
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