ROUSLANA REVITSKAIA ANP - BC
NPI 1376820621
Nurse Practitioner - Adult Health in Mineola, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

Active since November 14, 2011PECOS Enrolled

259 1ST ST, MINEOLA, NY 11501(516) 663-0333 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Rouslana Revitskaia Anp - Bc NPPES

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

ROUSLANA REVITSKAIA ANP - BC (NPI 1376820621) is an individual adult health provider in Mineola, New York, licensed in New York (F305810-1) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376820621

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameROUSLANA REVITSKAIACredential: ANP - BC

Location Address259 1ST STMineola, NY 11501-3957

Mailing Address259 1st StMineola, NY 11501-3957

Phone(516) 663-0333

Sole ProprietorYes

Enumeration DateNovember 14, 2011

✔ NPI 1376820621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F305810-1

259 1ST ST, Mineola, NY 11501

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rouslana Revitskaia Anp - Bc 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 11501 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.