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SANDRA REVAK FNP
NPI 1508221870
Nurse Practitioner in Sewell, NJ

Active since December 30, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
239 HURFFVILLE CROSSKEYS RD, SUITE 160, SEWELL, NJ 08080(856) 341-8200(856) 341-8212 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Sep 25, 2024, Aug 21, 2023 and 2 more (5 updates tracked since 2015).

About Sandra Revak Fnp NPPES

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

SANDRA REVAK FNP (NPI 1508221870) is an individual nurse practitioner in Sewell, New Jersey, licensed in New Jersey (26NJ00629600) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1508221870
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSANDRA REVAKCredential: FNP
Location Address239 HURFFVILLE CROSSKEYS RD, SUITE 160Sewell, NJ 08080-4002
Mailing Address239 Hurffville Crosskeys Rd Ste 160Sewell, NJ 08080-4005 · (856) 341-8200 · Fax (856) 341-8215
Phone(856) 341-8200
Fax(856) 341-8212
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 30, 2015
Last NPPES UpdateJanuary 6, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1508221870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00629600
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR15492200 (NJ)
239 HURFFVILLE CROSSKEYS RD, Sewell, NJ 08080
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1128 Route 70 Ste 1Medford, NJ 08055-2371 · Phone (609) 367-0900 · Fax (609) 367-0901
Location 2315 Route 70 ECherry Hill, NJ 08034-2408 · Phone (856) 375-6240 · Fax (856) 375-6241
Location 3158 Route 73 Ste BVoorhees, NJ 08043-9539 · Phone (856) 247-7230 · Fax (856) 247-7231
Location 4555 High St Ste 16AMount Holly, NJ 08060-1084 · Phone (609) 444-5610 · Fax (609) 444-5611
Location 5602 W Cuthbert Blvd Unit 26Haddon Township, NJ 08108-3642 · Phone (856) 946-5180 · Fax (856) 946-5181
Location 6141 Bridgeton Pike Unit BMullica Hill, NJ 08062-2615 · Phone (856) 291-8600
Location 7401 Young Ave Ste 180 FrontMoorestown, NJ 08057-3139 · Phone (856) 291-8600 · Fax (856) 291-8610

Other Identifiers 1

Medicaid0569313NJ

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

Sandra Revak Fnp 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 ID749572840
PECOS Enrollment IDI20160711001682
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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
103 services98 patients
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.
32 services29 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services18 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

DR. MELISSA ROSATO MD
Family Medicine
239 HURFFVILLE CROSSKEYS RD
SEWELL, NJ 08080
Gloucester County (856) 341-8181
JOANN RICHICHI D.O.
Obstetrics & Gynecology
239 HURFFVILLE CROSSKEYS RD, STE 250
SEWELL, NJ 08080
Gloucester County (856) 262-8300
RECONSTRUCTIVE ORTHOPEDICS, P.A.
Orthopaedic Surgery
239 HURFFVILLE CROSSKEYS RD, SUITE 440
SEWELL, NJ 08080
Gloucester County (856) 629-2688
DR. KEITH R ABRUZZESE DPT
Physical Therapist
239 HURFFVILLE CROSSKEYS RD, SUITE 110
SEWELL, NJ 08080
Gloucester County (856) 341-8510
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Radiology (Radiation Oncology)
239 HURFFVILLE CROSSKEYS RD, VIRTUA FCCC
SEWELL, NJ 08080
Gloucester County (856) 341-8413
PERSANTE SLEEP CARE, INC.
Specialist
239 HURFFVILLE CROSSKEYS RD
SEWELL, NJ 08080
Gloucester County (800) 753-3779
PARTNERS IN NEUROLOGY, P.A.
Psychiatry & Neurology (Neurology)
239 HURFFVILLE CROSSKEYS RD, SUITE 440
SEWELL, NJ 08080
Gloucester County (856) 556-0031
BRIELLE DOLAN
Nurse Practitioner (Family)
239 HURFFVILLE CROSSKEYS RD
SEWELL, NJ 08080
Gloucester County (856) 341-8200

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 Sandra Revak's NPI number?

The NPI number for Sandra Revak is 1508221870. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Where is Sandra Revak located?

Sandra Revak practices at 239 Hurffville Crosskeys Rd Suite 160, Sewell, NJ 08080. The listed phone number is (856) 341-8200.

What is Sandra Revak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sandra Revak enrolled in Medicare?

Yes. Sandra Revak 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.

When was this NPI record last updated?

The NPPES record for Sandra Revak was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.