JUAN CARLOS REVELLI NURSE PRACTITIONER
NPI 1336833144
Nurse Practitioner - Psychiatric/Mental Health in Elmhurst, NY

Q: What is Juan Revelli's NPI number?

The NPI number for Juan Revelli is 1336833144. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Q: What is Juan Revelli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Juan Revelli was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 05, 2023PECOS EnrolledAccepts Medicare Assignment

7901 BROADWAY, ELMHURST, NY 11373(718) 334-3507(718) 334-5006 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Juan Carlos Revelli Nurse Practitioner NPPES

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

JUAN CARLOS REVELLI NURSE PRACTITIONER (NPI 1336833144) is an individual psychiatric/mental health provider in Elmhurst, New York, licensed in New York (403827) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Hospital Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336833144

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJUAN CARLOS REVELLICredential: NURSE PRACTITIONER

Location Address7901 BROADWAYElmhurst, NY 11373-1329

Mailing Address7901 BroadwayElmhurst, NY 11373-1329 · (718) 334-3507 · Fax (718) 334-5006

Phone(718) 334-3507

Fax(718) 334-5006

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 5, 2023

Last NPPES UpdateJune 9, 2023

NPPES CertifiedJune 9, 2023

✔ NPI 1336833144 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 NY · 403827

7901 BROADWAY, Elmhurst, NY 11373

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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 and accepts Medicare assignment

Juan Carlos Revelli Nurse Practitioner 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 ID9931560638

PECOS Enrollment IDI20230727002558

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

74 services21 patients

Hospital Affiliations CMS Care Compare

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

Elmhurst Hospital Center

Acute Care Hospitals · Elmhurst, NY

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330128

Location79-01 BroadwayElmhurst, NY 11373 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 20

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

MR. PAUL ADRIAN POWELL P.A

Physician Assistant