Revive Health and Wellness of Arkansas, PLLC
NPI 1548935646ActiveOrganization· Nurse Practitioner, Family· Little Rock, AR
Nurse Practitioner, Family in Little Rock, Arkansas, registered in NPPES in August 2021. The authorized official on file is Lindsey Ponwith, APRN, Mng Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548935646 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2021 |
| Last updated in NPPES | Sep 21, 2026 |
| Certified by provider | Sep 21, 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 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 (AR) |
|---|
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