Revision Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVISION WELLNESS, LLC

Practice address

11312 Manklin Creek Rd Unit 5
Berlin, MD 21811-4009

Phone

(443) 513-5000

Fax

(888) 307-9020

NPI assigned

Nov 11, 2019

Organization subpart

No

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

Authorized official

Name

Miss Angela Borrell, CRNPNPI 1457683740

Title

Owner -Clinical Provider

Phone

(443) 513-0500

Specialties & licenses 6

Addresses

Other identifiers 3

Locations

Practitioners 2

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.

• Angela Borrell, CRNP

  • Family Nurse Practitioner
  • Berlin, MD
  • NPI 1457683740
  Authorized official Same address or phone
• Jeremiah Richard D'Allesandro, CAC-AD

  • Addiction (Substance Use Disorder) Counselor
  • Salisbury, MD
  • NPI 1851961858
  NPD (past)

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1497390702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 MANKLIN CREEK RD UNIT 5",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218114009",
            "telephone_number": "443-513-0500",
            "fax_number": "888-307-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 MANKLIN CREEK RD UNIT 5",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218114009",
            "telephone_number": "443-513-5000",
            "fax_number": "888-307-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISION WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "BORRELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER -CLINICAL PROVIDER",
        "authorized_official_telephone_number": "443-513-0500",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI ASSOCIATED WITH REVISION WELLNESS",
            "identifier": "1457683740",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722026000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1497390702",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saif Ur Rehman
• Lisa Jane Rekos, LCSW-C
• Renal Treatment Centers - Mid-Atlantic, Inc. (Berlin Dialysis Center)
• Restorative Behavioral Health, Inc.
• Restorative Behavioral Health, Inc.
• Helena Dawn Rew
• Dolores Rhymer-Anderson, M.D., FACOG, MBA
• Kimberly Rose Richardson, RN
• Jessica Mae Rickels, LMSW, CAC-AD
• Brookellen Rider, DO

• Clinic/Center in Berlin, MD
• Providers in Berlin, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.