STEPHANIE R REVORD APRN
NPI 1174992846
Nurse Practitioner in Council Bluffs, IA

Active since September 23, 2015PECOS EnrolledAccepts Medicare Assignment
201 RIDGE ST STE 312, COUNCIL BLUFFS, IA 51503(712) 396-7880(712) 396-7885 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie R Revord Aprn NPPES

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

STEPHANIE R REVORD APRN (NPI 1174992846) is an individual nurse practitioner in Council Bluffs, Iowa, licensed in Iowa (F141666) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of University Of Nebraska College Of Medicine (2015).

NPPES Registry Identity

NPI1174992846
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE R REVORDCredential: APRN
Location Address201 RIDGE ST STE 312Council Bluffs, IA 51503-4643
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155
Fax(712) 396-7885
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2015
Enumeration DateSeptember 23, 2015
Last NPPES UpdateJuly 3, 2019
NPI 1174992846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IA · F141666
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License F141666 (IA)
201 RIDGE ST STE 312, Council Bluffs, IA 51503

Other Names 1

Former Name (1)Stephanie R Lee

Other Identifiers 3

Medicaid10026480117NE
Medicaid10026211300NE
Medicaid1174992846IA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephanie R Revord Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274833538
PECOS Enrollment IDI20151118002775, I20151118002973
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
201 RIDGE ST STE 312
COUNCIL BLUFFS, IA 51503
Nurse Practitioner
201 RIDGE ST STE 312
COUNCIL BLUFFS, IA 51503
Nurse Practitioner (Women's Health)
201 RIDGE ST STE 312
COUNCIL BLUFFS, IA 51503
Advanced Practice Midwife
201 RIDGE ST STE 312
COUNCIL BLUFFS, IA 51503
Obstetrics & Gynecology
201 RIDGE ST STE 312
COUNCIL BLUFFS, IA 51503
Obstetrics & Gynecology
201 RIDGE ST STE 312
COUNCIL BLUFFS, IA 51503

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 Stephanie Revord's NPI number?

The NPI number for Stephanie Revord is 1174992846. It was assigned to this individual provider in the NPPES registry on September 23, 2015. The provider is also known as Stephanie R Lee.

Where is Stephanie Revord located?

Stephanie Revord practices at 201 Ridge St Ste 312, Council Bluffs, IA 51503. The listed phone number is (712) 396-7880.

What is Stephanie Revord's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stephanie Revord enrolled in Medicare?

Yes. Stephanie Revord is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Revord accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Stephanie Revord as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephanie Revord affiliated with any hospitals?

According to CMS data, Stephanie Revord is affiliated with Methodist Jennie Edmundson and The Nebraska Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Revord was last updated on July 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.