RENE L. REVELLE CNP
NPI 1639584139
Nurse Practitioner - Family in Eldon, MO

Q: What is Rene Revelle's NPI number?

The NPI number for Rene Revelle is 1639584139. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Rene Revelle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rene Revelle was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment

82.13/100

CMS Quality Rating

304A E 4TH ST, ELDON, MO 65026(573) 557-2400(573) 557-2401 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Rene L. Revelle Cnp NPPES

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

RENE L. REVELLE CNP (NPI 1639584139) is an individual family provider in Eldon, Missouri, licensed in Missouri (2015010647) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Lake Regional Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639584139

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRENE L. REVELLECredential: CNP

Location Address304A E 4TH STEldon, MO 65026-1808

Mailing AddressPo Box 1500Osage Beach, MO 65065-1500

Phone(573) 557-2400

Fax(573) 557-2401

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 24, 2014

Last NPPES UpdateJune 29, 2015

✔ NPI 1639584139 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

Licenses✔ Licensed in MO · 2015010647✔ Licensed in OH · COA15919NP

304A E 4TH ST, Eldon, MO 65026

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Other Identifiers 3

Medicare PINH334120OH

Medicaid0105747OH

Medicaid3810027971WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Rene L. Revelle Cnp 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 ID6507082559

PECOS Enrollment IDI20150713002005

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.

Hospital Affiliations CMS Care Compare

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

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260186

Location54 Hospital DriveOsage Beach, MO 65065 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65026 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

82.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.14

Promoting Interoperability

100

Improvement Activities

Cost

61.46

Other Providers at the Same Location NPPES 15

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

LAKE REGIONAL HEALTH SYSTEM

Clinic/Center (Rural Health)

304A E 4TH ST
ELDON, MO 65026

Miller County (573) 392-5654

MR. HENRY KEILER BLUHM JR. PA-C

Physician Assistant (Medical)

304A E 4TH ST
ELDON, MO 65026

Miller County (573) 557-2400

KRISTEN SHAVAUGHN STAMPEHL NP-C

Nurse Practitioner (Family)

304A E 4TH ST
ELDON, MO 65026

Miller County (573) 392-5654

MICHAEL JAMES LEWIS FNP-BC

Nurse Practitioner (Family)

304A E 4TH ST
ELDON, MO 65026

Miller County (573) 552-5700

CHRISTINE ANN LIVEK M.D.

Family Medicine

304A E 4TH ST
ELDON, MO 65026

Miller County (573) 557-2400

EVGENIYA BANINA M.D.

Internal Medicine

304A E 4TH ST
ELDON, MO 65026

Miller County (573) 392-5654

DR. PAUL BERNABE M.D.

Family Medicine

304A E 4TH ST
ELDON, MO 65026

Miller County (573) 392-5654

KAYDIE ANN DIAL FNP

Nurse Practitioner (Family)

304A E 4TH ST
ELDON, MO 65026

Miller County (573) 392-5654

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 Rene Revelle's NPI number?

The NPI number for Rene Revelle is 1639584139. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Rene Revelle located?

Rene Revelle practices at 304A E 4th St, Eldon, MO 65026. The listed phone number is (573) 557-2400.

What is Rene Revelle's specialty?

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

Is Rene Revelle enrolled in Medicare?

Yes. Rene Revelle 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 Rene Revelle accept?

Health plans from Medica list Rene Revelle 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 Rene Revelle affiliated with any hospitals?

According to CMS data, Rene Revelle is affiliated with Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Rene Revelle was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.