JENNIFER REVELO FNP
NPI 1831050079
Nurse Practitioner - Family in Downey, CA
About Jennifer Revelo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER REVELO FNP (NPI 1831050079) is an individual family provider in Downey, California, licensed in California (F10250831) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Revelo Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Revelo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moorpark, CA 93021
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DOWNEY, CA 90242
DOWNEY, CA 90242
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 Jennifer Revelo's NPI number?
The NPI number for Jennifer Revelo is 1831050079. It was assigned to this individual provider in the NPPES registry on November 18, 2025.
Where is Jennifer Revelo located?
Jennifer Revelo practices at 9333 Imperial Hwy, Downey, CA 90242. The listed phone number is (833) 574-2273.
What is Jennifer Revelo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Revelo enrolled in Medicare?
Yes. Jennifer Revelo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Revelo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Revelo reassigns Medicare benefits to Trillium Med Spa Cosmetic Surgery And Laser Center (Moorpark, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Revelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Revelo 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 11 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.
# Jennifer Revelo, FNP · NPI 1831050079
Family physician in Downey, California. Individual provider, active in the CMS NPPES registry since November 18, 2025.
## Identity
- **NPI:** 1831050079 (Entity type: Individual)
- **Enumerated:** November 18, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F10250831 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9333 IMPERIAL HWY, Downey, CA 90242-2812
- **Phone:** (833) 574-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trillium Med Spa Cosmetic Surgery And Laser Center (NPI 1467607127, Moorpark, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831050079) · Data from the CMS NPPES public registry.