1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Nurse Practitioner
  6. NPI Profile

RONELLE REVILLA
NPI 1528693181
Nurse Practitioner in Seattle, WA

Active since March 04, 2020PECOS EnrolledAccepts Medicare Assignment
1100 9TH AVE, SEATTLE, WA 98101(206) 341-0394 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2020, Mar 4, 2020 (2 updates tracked since 2020).

About Ronelle Revilla NPPES

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

RONELLE REVILLA (NPI 1528693181) is an individual nurse practitioner in Seattle, Washington, licensed in Washington (AP61065135) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1528693181
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRONELLE REVILLA
Location Address1100 9TH AVESeattle, WA 98101-2756
Mailing Address1100 9th Ave, M4-pfsSeattle, WA 98101-2756
Phone(206) 341-0394
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 4, 2020
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1528693181 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 WA · AP61065135
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 RN60560871 (WA)
1100 9TH AVE, Seattle, WA 98101
Open in Google Maps ↗

Secondary Practice Location 1

Location 11959 NE Pacific StreetSeattle, WA 98195 · Phone (206) 543-8736

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Ronelle Revilla 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 ID4587082664
PECOS Enrollment IDI20200922002686
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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services15 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
20 services18 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services14 patients

Hospital Affiliations CMS Care Compare

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

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500005
Location925 Seneca StSeattle, WA 98101 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims11 services$12.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JACLYN ANN SUBKOVIAK OT
Occupational Therapist
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 341-0461
MARCIE G HUME PHARM.D.
Pharmacist
1100 9TH AVE, MS C3-PO
SEATTLE, WA 98101
King County (206) 223-6877
DR. VINAY GUPTA MD
Internal Medicine (Critical Care Medicine)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6980
MARY JO BUKOVIC CCP
Contractor
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
PEGAH SAFAEIAN D.O.
Physical Medicine & Rehabilitation
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
MRS. GENEVIEVE HOUDET-COTE SLP
Speech-Language Pathologist
1100 9TH AVE, MS:H4-PMR
SEATTLE, WA 98101
King County (206) 341-0461
ROBERT DALE MCCLURE MD
Surgery
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
VIRGINIA MASON MEDICAL CENTER
Internal Medicine (Gastroenterology)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600

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 Ronelle Revilla's NPI number?

The NPI number for Ronelle Revilla is 1528693181. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Ronelle Revilla located?

Ronelle Revilla practices at 1100 9th Ave, Seattle, WA 98101. The listed phone number is (206) 341-0394.

What is Ronelle Revilla's specialty?

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

Is Ronelle Revilla enrolled in Medicare?

Yes. Ronelle Revilla 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.

What insurance does Ronelle Revilla accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ronelle Revilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ronelle Revilla affiliated with any hospitals?

According to CMS data, Ronelle Revilla is affiliated with Virginia Mason Medical Center.

When was this NPI record last updated?

The NPPES record for Ronelle Revilla was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.