REVONDA WILLS
NPI 1932722485
Nurse Practitioner - Family in Princeton, WV

Active since May 19, 2020PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
365 COURTHOUSE RD, PRINCETON, WV 24740(304) 425-3922 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revonda Wills NPPES

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

REVONDA WILLS (NPI 1932722485) is an individual family provider in Princeton, West Virginia, licensed in West Virginia (105555) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1932722485
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREVONDA WILLS
Location Address365 COURTHOUSE RDPrinceton, WV 24740-2431
Mailing Address365 Courthouse RdPrinceton, WV 24740-2431 · (304) 425-3922
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
NPI 1932722485 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 WV · 105555
365 COURTHOUSE RD, Princeton, WV 24740

Accepted 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

Revonda Wills 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 ID1456779594
PECOS Enrollment IDI20200922001061
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.

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.
13 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24740 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims22 services$6.02 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier21 claims22 services$43.03 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$21.40 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier16 claims16 services$184.40 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 9

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

Clinical Medical Laboratory
365 COURTHOUSE RD
PRINCETON, WV 24740
Registered Nurse
365 COURTHOUSE RD
PRINCETON, WV 24740
Nurse Practitioner (Family)
365 COURTHOUSE RD
PRINCETON, WV 24740
Nurse Practitioner (Gerontology)
365 COURTHOUSE RD
PRINCETON, WV 24740
Nurse Practitioner
365 COURTHOUSE RD
PRINCETON, WV 24740
Physician Assistant
365 COURTHOUSE RD
PRINCETON, WV 24740
Nurse Practitioner (Family)
365 COURTHOUSE RD
PRINCETON, WV 24740
Physician Assistant
365 COURTHOUSE RD
PRINCETON, WV 24740

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 Revonda Wills's NPI number?

The NPI number for Revonda Wills is 1932722485. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Revonda Wills located?

Revonda Wills practices at 365 Courthouse Rd, Princeton, WV 24740. The listed phone number is (304) 425-3922.

What is Revonda Wills's specialty?

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

Is Revonda Wills enrolled in Medicare?

Yes. Revonda Wills 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 Revonda Wills accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Revonda Wills 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 Revonda Wills affiliated with any hospitals?

According to CMS data, Revonda Wills is affiliated with Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Revonda Wills was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.