Revive of Colorado, PLLC
NPI 1609372838ActiveOrganization· Nurse Practitioner· Colorado Springs, CO
Nurse Practitioner in Colorado Springs, Colorado, registered in NPPES in April 2018. The authorized official on file is Deirdre Raquel Wolf, AGNP-C, Ceo.
Overview
| NPI | 1609372838 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 5, 2018 |
| Last updated in NPPES | Apr 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AG09170063 | CO |
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 |
|---|
Other Nurse Practitioner providers in Colorado Springs
- 1174436240
- 1245683556
- 1912564725
- 1023777497
- 1053251736
- 1346998283
- 1841842291
- 1669181384
- 1801226048
- 1265051056
- 1548490204
- 1598316556