Revolution Health LLC
NPI 1356015218ActiveOrganization· Nurse Practitioner, Family· Henderson, NV
Nurse Practitioner, Family in Henderson, Nevada, registered in NPPES in August 2021. The authorized official on file is Katie Bass, APRN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356015218 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2021 |
| Last updated in NPPES | Apr 18, 2022 |
| Certified by provider | Apr 18, 2022 |
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 (NV) |
|---|
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