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REVAI NICOLE SAMUEL
NPI 1295308831
Physician Assistant in Irvine, CA

Active since July 21, 2021PECOS Enrolled
14443 CULVER DR # 14443-A, IRVINE, CA 92604(949) 767-8173(888) 972-1812 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2024, Mar 4, 2023, Jul 21, 2021 (3 updates tracked since 2021).

About Revai Nicole Samuel NPPES

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

REVAI NICOLE SAMUEL (NPI 1295308831) is an individual physician assistant in Irvine, California, licensed in California (62641) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295308831
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameREVAI NICOLE SAMUEL
Location Address14443 CULVER DR # 14443-AIrvine, CA 92604-0343
Mailing Address2920 Telegraph Ave Ste 100Berkeley, CA 94705-2031
Phone(949) 767-8173
Fax(888) 972-1812
Sole ProprietorNo
Enumeration DateJuly 21, 2021
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1295308831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 62641
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
14443 CULVER DR # 14443-A, Irvine, CA 92604
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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)

Revai Nicole Samuel 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 92604 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 Revai Samuel's NPI number?

The NPI number for Revai Samuel is 1295308831. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Revai Samuel located?

Revai Samuel practices at 14443 Culver Dr # 14443-A, Irvine, CA 92604. The listed phone number is (949) 767-8173.

What is Revai Samuel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Revai Samuel enrolled in Medicare?

Yes. Revai Samuel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Revai Samuel was last updated on August 16, 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.