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NICKOLAS ALEXANDER REVIELLO
NPI 1821765272
Physician Assistant in Dickson City, PA

Active since August 24, 2021PECOS EnrolledAccepts Medicare Assignment
334 MAIN ST STE 1, DICKSON CITY, PA 18519(570) 307-1767 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Aug 24, 2021 (2 updates tracked since 2021).

About Nickolas Alexander Reviello NPPES

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

NICKOLAS ALEXANDER REVIELLO (NPI 1821765272) is an individual physician assistant in Dickson City, Pennsylvania, licensed in Pennsylvania (MA062756) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and maintains a secondary practice location in Holly Springs.

NPPES Registry Identity

NPI1821765272
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICKOLAS ALEXANDER REVIELLO
Location Address334 MAIN ST STE 1Dickson City, PA 18519-1668
Mailing Address74 Douglas DrCovington Township, PA 18424-7825 · (570) 702-4589
Phone(570) 307-1767
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2021
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1821765272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA062756
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
334 MAIN ST STE 1, Dickson City, PA 18519
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Secondary Practice Location 1

Location 1851 S Main StHolly Springs, NC 27540-8907 · Phone (919) 346-8651 · Fax (919) 557-6084

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Nickolas Alexander Reviello 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 ID1850776907
PECOS Enrollment IDI20251106001633
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 2

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
540 services93 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
111 services102 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18519 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 2

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

LVHN SCRANTON ORTHOPEDIC SPECIALISTS
Orthopaedic Surgery
334 MAIN ST STE 1
DICKSON CITY, PA 18519
Lackawanna County (570) 307-1767
AMANDA ALBERTSON PA-C
Physician Assistant (Medical)
334 MAIN ST STE 1
DICKSON CITY, PA 18519
Lackawanna County (570) 219-5141

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 Nickolas Reviello's NPI number?

The NPI number for Nickolas Reviello is 1821765272. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Nickolas Reviello located?

Nickolas Reviello practices at 334 Main St Ste 1, Dickson City, PA 18519. The listed phone number is (570) 307-1767.

What is Nickolas Reviello's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nickolas Reviello enrolled in Medicare?

Yes. Nickolas Reviello 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 Nickolas Reviello accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Nickolas Reviello 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 Nickolas Reviello affiliated with any hospitals?

According to CMS data, Nickolas Reviello is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Nickolas Reviello was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.