Revitalize Your Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REVITALIZE YOUR WELLNESS

Practice address

12025 276TH Ave NW
Zimmerman, MN 55398-8923

Phone

(651) 416-1301

NPI assigned

Jul 29, 2026

Last updated

Jul 29, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mikayla Ellen Siemsen, FNPNPI 1992537393

Title

Family Nurse Practitioner

Phone

(651) 416-1301

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikayla Ellen Siemsen, CNP

  • Primary Care Nurse Practitioner
  • Zimmerman, MN
  • NPI 1992537393
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1194647172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 276TH AVE NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553988923",
            "telephone_number": "651-416-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 276TH AVE NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553988923",
            "telephone_number": "651-416-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE YOUR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "SIEMSEN",
        "authorized_official_first_name": "MIKAYLA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "651-416-1301",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wendy Sabinske
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• Family Medicine Physician in Zimmerman, MN
• Providers in Zimmerman, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.