NPI age
2 years
Enumerated 2023-07-21
● Active Type 2 · Organization
Revive Wellness And Aesthetics
Revive Wellness And Aesthetics is 1 of 1280 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martin
Owner/nurse Practitioner
Last NPPES update
2023-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
2 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-07Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
445 S Fitness Pl # 130
Eagle, ID 836166828
Mailing address
4253 N Sorrel Pl
Boise, ID 837033487
Authorized official
Kelsey Martin, DNP, FNP-C
Owner/nurse Practitioner
📞 2176172575
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.