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LIANNE REVILLA APRN
NPI 1184496531
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since October 27, 2023PECOS Enrolled
4820 SW 87TH AVE, MIAMI, FL 33165(786) 395-5284 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2024, Oct 27, 2023 (2 updates tracked since 2023).

About Lianne Revilla Aprn NPPES

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

LIANNE REVILLA APRN (NPI 1184496531) is an individual psychiatric/mental health provider in Miami, Florida, licensed in Florida (APRN11029453) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184496531
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLIANNE REVILLACredential: APRN
Location Address4820 SW 87TH AVEMiami, FL 33165-6703
Mailing Address4820 Sw 87th AveMiami, FL 33165-6703 · (786) 395-5284
Phone(786) 395-5284
Sole ProprietorYes
Enumeration DateOctober 27, 2023
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1184496531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11029453
4820 SW 87TH AVE, Miami, FL 33165
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lianne Revilla Aprn 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lianne Revilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Axis Mental Health LLC
1.7 mi
Psychiatric/Mental Health
8890 SW 24TH ST
Miami, FL 33165
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1154251148 (305) 804-9624
Grow Healthcare Group PA
9.4 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33165 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 Lianne Revilla's NPI number?

The NPI number for Lianne Revilla is 1184496531. It was assigned to this individual provider in the NPPES registry on October 27, 2023.

Where is Lianne Revilla located?

Lianne Revilla practices at 4820 SW 87th Ave, Miami, FL 33165. The listed phone number is (786) 395-5284.

What is Lianne Revilla's specialty?

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

Is Lianne Revilla enrolled in Medicare?

Yes. Lianne Revilla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lianne Revilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lianne Revilla reassigns Medicare benefits to 2 organizations: Axis Mental Health LLC (Miami, FL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lianne Revilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lianne Revilla accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Lianne Revilla 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.

When was this NPI record last updated?

The NPPES record for Lianne Revilla was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.