REVA MICHELLE RUSS FNP
NPI 1609536317
Nurse Practitioner - Family in Richmond, VA

Active since December 21, 2021PECOS EnrolledAccepts Medicare Assignment
5855 BREMO RD STE 706, RICHMOND, VA 23226(804) 287-4528 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 13, 2022, Dec 21, 2021 (2 updates tracked since 2021).

About Reva Michelle Russ Fnp NPPES

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

REVA MICHELLE RUSS FNP (NPI 1609536317) is an individual family provider in Richmond, Virginia, licensed in Virginia (0024183254) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609536317
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREVA MICHELLE RUSSCredential: FNP
Location Address5855 BREMO RD STE 706Richmond, VA 23226-1926
Mailing Address111 Moore AveColonial Heights, VA 23834-1311 · (048) 475-2858
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 21, 2021
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
NPI 1609536317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024183254
5855 BREMO RD STE 706, Richmond, VA 23226

Other Names 1

Former Name (1)Reva Michelle Rodas

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

Reva Michelle Russ 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 ID5092198952
PECOS Enrollment IDI20220810002878
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 23226 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 3

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

Internal Medicine (Gastroenterology)
5855 BREMO RD STE 706
RICHMOND, VA 23226
Internal Medicine (Gastroenterology)
5855 BREMO RD STE 706
RICHMOND, VA 23226
Physician Assistant (Medical)
5855 BREMO RD STE 706
RICHMOND, VA 23226

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 Reva Russ's NPI number?

The NPI number for Reva Russ is 1609536317. It was assigned to this individual provider in the NPPES registry on December 21, 2021. The provider is also known as Reva Michelle Rodas.

Where is Reva Russ located?

Reva Russ practices at 5855 Bremo Rd Ste 706, Richmond, VA 23226. The listed phone number is (804) 287-4528.

What is Reva Russ's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Reva Russ enrolled in Medicare?

Yes. Reva Russ 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 Reva Russ was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.