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MS. JANET MARY REVELS PMHNP
NPI 1225784390
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since February 26, 2022PECOS Enrolled
4510 EXECUTIVE DR STE 108, SAN DIEGO, CA 92121(619) 333-3515(619) 362-9903 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Janet Mary Revels Pmhnp NPPES

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

MS. JANET MARY REVELS PMHNP (NPI 1225784390) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95020388) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1225784390
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JANET MARY REVELSCredential: PMHNP
Location Address4510 EXECUTIVE DR STE 108San Diego, CA 92121-3022
Mailing Address2621 Pheasant DrSan Diego, CA 92123-3325 · (619) 971-0548
Phone(619) 333-3515
Fax(619) 362-9903
Sole ProprietorNo
Enumeration DateFebruary 26, 2022
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1225784390 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 CA · 95020388
4510 EXECUTIVE DR STE 108, San Diego, CA 92121
Open in Google Maps ↗

Secondary Practice Location 1

Location 12621 Pheasant DrSan Diego, CA 92123-3325 · Phone (619) 971-0548

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Janet Mary Revels Pmhnp 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 Reassignment

Medicare enrollment records show Janet Revels reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aloha Integrative Health
Same address
Psychiatry
4510 EXECUTIVE DR STE 108
San Diego, CA 92121
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1669016028 (619) 994-2760

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 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 5

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

IESHIA TIANA BROWN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (619) 333-3515
SOLVIS HEALTHCARE INC.
Physical Therapist
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (858) 457-7180
MARLENE MELUCCI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (619) 333-3515
ALOHA INTEGRATIVE HEALTH
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (619) 994-2760
KIMBERLY M. SANDBERG, RN, CRNA, A PROFESSIONAL CORPORATION
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (619) 333-3515

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 Janet Revels's NPI number?

The NPI number for Janet Revels is 1225784390. It was assigned to this individual provider in the NPPES registry on February 26, 2022.

Where is Janet Revels located?

Janet Revels practices at 4510 Executive Dr Ste 108, San Diego, CA 92121. The listed phone number is (619) 333-3515.

What is Janet Revels's specialty?

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

Is Janet Revels enrolled in Medicare?

Yes. Janet Revels is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Janet Revels's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janet Revels reassigns Medicare benefits to Aloha Integrative Health (San Diego, CA). The 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 Janet Revels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Janet Revels was last updated on March 27, 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.