Ms Jacqueline Revello, MA, RN - Counselor in Divide, CO

Ms Jacqueline Revello, MA, RN is a Registered Nurse based in Divide, Colorado. Ms Jacqueline Revello is licensed to practice in Colorado (license number RN0188325) and her current practice location is 11115 W. Hwy 24, Unit 2c, Divide, Colorado. She can be reached at her office (for appointments etc.) via phone at (719) 687-6416.

NPI number for Ms Jacqueline Revello is 1003084369 and her current mailing address is Po Box 214, 682 Simba Point, Divide, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003084369.

Contact Information

Ms Jacqueline Revello, MA, RN
11115 W. Hwy 24, Unit 2c,
Divide, CO 80814
(719) 687-6416
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Jacqueline Revello
GenderFemale
SpecialityRegistered Nurse
Location11115 W. Hwy 24, Unit 2c, Divide, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003084369
  • Provider Enumeration Date: 02/20/2008
  • Last Update Date: 02/10/2017

Medical Identifiers

Medical identifiers for Ms Jacqueline Revello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003084369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
163W00000XRegistered Nurse RN0188325 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Revello is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jacqueline Revello, MA, RN
Po Box 214, 682 Simba Point,
Divide, CO 80814-0214

Ph: (719) 687-4224
Ms Jacqueline Revello, MA, RN
11115 W. Hwy 24, Unit 2c,
Divide, CO 80814

Ph: (719) 687-6416

Reviews and Comments


Registered Nurse in Divide, CO


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.