JOSE FELIX REVOLLO
NPI 1013553502
Nurse Practitioner - Psychiatric/Mental Health in Fort Washington, MD

Q: What is Jose Revollo's NPI number?

The NPI number for Jose Revollo is 1013553502. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Q: What is Jose Revollo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jose Revollo was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2019PECOS Enrolled

703 CLAMOR CT, FORT WASHINGTON, MD 20744(201) 757-4005 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Jul 8, 2026, Jun 4, 2026, Nov 20, 2019 (3 updates tracked since 2019).

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About Jose Felix Revollo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE FELIX REVOLLO (NPI 1013553502) is an individual psychiatric/mental health provider in Fort Washington, Maryland, licensed in Maryland (R239041) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013553502

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJOSE FELIX REVOLLO

Location Address703 CLAMOR CTFort Washington, MD 20744-5170

Mailing Address703 Clamor CtFort Washington, MD 20744-5170 · (201) 757-4005

Phone(201) 757-4005

Sole ProprietorYes

Enumeration DateNovember 20, 2019

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1013553502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R239041

Also ListedRegistered NurseTaxonomy 163W00000X · License R239041 (MD)

703 CLAMOR CT, Fort Washington, MD 20744

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Felix Revollo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20744 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Revollo's NPI number?

The NPI number for Jose Revollo is 1013553502. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Jose Revollo located?

Jose Revollo practices at 703 Clamor Ct, Fort Washington, MD 20744. The listed phone number is (201) 757-4005.

What is Jose Revollo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jose Revollo enrolled in Medicare?

Yes. Jose Revollo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Revollo was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.