ROUSLANA REVITSKAIA ANP - BC
NPI 1376820621
Nurse Practitioner - Adult Health in Mineola, NY
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
Specialties & Licenses
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).
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.
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.
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
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 Rouslana Revitskaia's NPI number?
The NPI number for Rouslana Revitskaia is 1376820621. It was assigned to this individual provider in the NPPES registry on November 14, 2011.
Where is Rouslana Revitskaia located?
Rouslana Revitskaia practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-0333.
What is Rouslana Revitskaia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Rouslana Revitskaia enrolled in Medicare?
Yes. Rouslana Revitskaia is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rouslana Revitskaia was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Rouslana Revitskaia, ANP - BC · NPI 1376820621
Adult Health physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since November 14, 2011.
## Identity
- **NPI:** 1376820621 (Entity type: Individual)
- **Enumerated:** November 14, 2011
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F305810-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 259 1ST ST, Mineola, NY 11501-3957
- **Phone:** (516) 663-0333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 14, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1376820621) · Data from the CMS NPPES public registry.