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

Active since February 26, 2022PECOS EnrolledAccepts Medicare Assignment
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: July 26, 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, maintains a secondary practice location in San Diego, and is a graduate of Other (2021).

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
Fax(619) 362-9903
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
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

Secondary Practice Location 1

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

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

Ms. Janet Mary Revels Pmhnp 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 ID7719325372
PECOS Enrollment IDI20240402004100
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 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.

Nurse Practitioner (Psychiatric/Mental Health)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
Physical Therapist
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
Nurse Practitioner (Psychiatric/Mental Health)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Janet Revels accept?

Health plans from Providence Health Plan list Janet Revels 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 Janet Revels was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.