Revive Center for Health & Wellness
NPI 1548917594ActiveOrganization· Nurse Practitioner, Family· Vernon, CT
Nurse Practitioner, Family in Vernon, Connecticut, registered in NPPES in March 2022. The authorized official on file is Jennifer Maria Sousa Jerome, MSN, APRN, FNP-BC, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548917594 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2022 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 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 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 (CT) |
|---|
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