Revival Wellness Company
NPI 1407753957ActiveOrganization· Nurse Practitioner, Family· Greensburg, PA
Nurse Practitioner, Family in Greensburg, Pennsylvania, registered in NPPES in October 2026, part of Revival Wellness Company. The authorized official on file is Kami Beveridge Wast, DNP, CRNP, Owner.
Overview
| NPI | 1407753957 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Revival Wellness Company |
| NPI issued | Oct 20, 2026 |
| Last updated in NPPES | Oct 20, 2026 |
| Certified by provider | Oct 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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