Revonda Wills, - Medicare Nurse Practitioner in Princeton, WV

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Revonda Wills, is a medicare enrolled "Nurse Practitioner - Family" in Princeton, West Virginia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Princeton Community Hospital Assn. Inc. and her current practice location is 365 Courthouse Rd, Princeton, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 425-3922.

Revonda Wills is licensed to practice in West Virginia (license number 105555) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932722485.

Contact Information

Revonda Wills,
365 Courthouse Rd,
Princeton, WV 24740-2431
(304) 425-3922
Not Available

Map and Direction




Provider's Profile

Full NameRevonda Wills
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location365 Courthouse Rd, Princeton, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Revonda Wills graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1932722485
  • Provider Enumeration Date: 05/19/2020
  • Last Update Date: 05/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1456779594
  • Enrollment ID: I20200922001061

Medical Identifiers

Medical identifiers for Revonda Wills such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932722485NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 105555 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Princeton Community HospitalPrinceton, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Princeton Community Hospital Assn. Inc.3678482221138

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Revonda Wills allows following entities to bill medicare on her behalf.
Entity NamePrinceton Community Hospital Assn. Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093917643
PECOS PAC ID: 3678482221
Enrollment ID: O20031211000436

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. Revonda Wills is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revonda Wills,
365 Courthouse Rd,
Princeton, WV 24740-2431

Ph: (304) 425-3922		Revonda Wills,
365 Courthouse Rd,
Princeton, WV 24740-2431

Ph: (304) 425-3922

Reviews and Comments


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Carlee Brooke Powell, FNP
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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.