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Revision Wellness, LLC

Clinic/Center in Berlin, MD · enumerated 2019 · authorized official Angela Borrell, Owner -Clinical Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497390702

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Registry record

Entity type Organization (Type 2)
Legal business name Revision Wellness, LLC
Practice address 11312 Manklin Creek Rd Unit 5, Berlin, MD, 21811
Phone (443) 513-5000
Fax (888) 307-9020
Enumeration date Nov 11, 2019
Last updated in NPPES Jun 22, 2026

Taxonomy & classification

163WP0808X Psychiatric/Mental Health Registered Nurse Nursing Service Providers Secondary
2083A0300X Addiction Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Secondary
2083B0002X Obesity Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Secondary
2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Secondary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Angela Borrell
Title Owner -Clinical Provider
Phone (443) 513-0500

Other identifiers

Identifier Type State Issuer
1457683740 Other MD INDIVIDUAL NPI ASSOCIATED WITH REVISION WELLNESS
722026000 Medicaid MD -
1497390702 Other MD GROUP NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Revision Wellness, LLC?
The NPI for Revision Wellness, LLC is 1497390702, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Revision Wellness, LLC?
NPPES lists Angela Borrell (Owner -Clinical Provider) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-22.