Organization provider

REVITALIZED WELLNESS

Psychiatric/Mental Health Nurse Practitioner

REVITALIZED WELLNESS is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104682590, based in Duncanville, TX. It is classified under Psychiatric/Mental Health Nurse Practitioner.

Getting there

The practice address on file is 1043 MEADOW RUN DR, Duncanville, TX 75137. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1043 MEADOW RUN DR, Duncanville, TX 75137 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104682590 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 23, 2024
Last updatedFeb 23, 2024
StatusActive
Practice address 1043 MEADOW RUN DR
Duncanville, TX 75137
(972) 838-0652
Mailing address 539 W COMMERCE ST # 4182
Dallas, TX 75208
This record was updated on Feb 23, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104682590 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 6 8 2 5 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 3 8 4 5 9

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104682590?
NPI 1104682590 is the National Provider Identifier assigned to REVITALIZED WELLNESS in Duncanville, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact REVITALIZED WELLNESS?
The phone number on file with NPPES is (972) 838-0652, last updated Feb 23, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104682590 a valid number?
Yes. 1104682590 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.