Stephanie R Revord, APRN in Council Bluffs, IA

Stephanie R Revord, APRN is a medicare enrolled "Nurse Practitioner" in Council Bluffs, Iowa. She went to University Of Nebraska College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physicians Clinic Inc, Physicians Clinic Inc and her current practice location is 201 Ridge St Ste 312, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 396-7880.

Stephanie R Revord is licensed to practice in Iowa (license number F141666) 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 1174992846.

Contact Information

	Stephanie R Revord, APRN
	201 Ridge St Ste 312, Council Bluffs, IA 51503-4643
	(712) 396-7880
	(712) 396-7885

Map and Direction

Provider's Profile

Full Name	Stephanie R Revord
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	201 Ridge St Ste 312, Council Bluffs, Iowa
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie R Revord attended and graduated from University Of Nebraska College Of Medicine in 2015

NPI Data:

NPI Number: 1174992846
Provider Enumeration Date: 09/23/2015
Last Update Date: 07/03/2019

Medicare PECOS Information:

PECOS PAC ID: 3274833538
Enrollment ID: I20151118002775

Medical Identifiers

Medical identifiers for Stephanie R Revord such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174992846	NPI	-	NPPES
10026211300	Medicaid	NE
10026480117	Medicaid	NE
1174992846	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	F141666 (Iowa)	Secondary
363L00000X	Nurse Practitioner	F141666 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Jennie Edmundson	Council bluffs, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physicians Clinic Inc	4880506062	505
Physicians Clinic Inc	4880506062	505

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. Stephanie R Revord allows following entities to bill medicare on her behalf.

Entity Name	Physicians Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345

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. Stephanie R Revord 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 Address	Practice Location Address
Stephanie R Revord, APRN Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100	Stephanie R Revord, APRN 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 Ph: (712) 396-7880

Reviews and Comments

Nurse Practitioner Nurses in Council Bluffs, IA

Jennifer L Achenbach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-325-2484
Mallory Lloyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-740-6503
Michelle Rude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Laura M Ayers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5252
Shannon Ranae Stafford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501 Phone: 712-322-6650 Fax: 712-328-7985
Brian Luedke, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Ms. Emily Wickham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501 Phone: 712-325-0022

Stephanie R Revord, APRN - Medicare Nurse Practitioner in Council Bluffs, IA