Revive Medical Care
NPI 1710668496ActiveOrganization· Nurse Practitioner· Goodyear, AZ
Nurse Practitioner in Goodyear, Arizona, registered in NPPES in July 2023. The authorized official on file is Jesus Ryan Arvizo, FNP-C, Owner.
Overview
| NPI | 1710668496 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2023 |
| Last updated in NPPES | Sep 22, 2026 |
| Certified by provider | Sep 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
| Nurse Practitioner, Gerontology | 363LG0600X | — | — |
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 Goodyear
- 1093164584
- 1689501652
- 1902734270
- 1952124984
- 1649917535
- 1508835059
- 1790036689
- 1528511482
- 1891279907
- 1457219552
- 1053056523
- 1700110434