Stephanie R Revord, APRN - Medicare Nurse Practitioner 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



Provider's Profile

Full NameStephanie R Revord
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location201 Ridge St Ste 312, Council Bluffs, Iowa
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:
  • 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.
IdentifierTypeStateIssuer
1174992846NPI-NPPES
10026211300MedicaidNE
10026480117MedicaidNE
1174992846MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health F141666 (Iowa)Secondary
363L00000XNurse Practitioner F141666 (Iowa)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Clinic Inc4880506062497
Physicians Clinic Inc4880506062497

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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 NamePhysicians Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821049156
PECOS PAC ID: 4880506062
Enrollment ID: O20031105000345

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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 AddressPractice 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

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Read more News

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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
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    
Jessalyn Brockman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Edmundson Pl Ste 200, Council Bluffs, IA 51503
Phone: 402-390-4111    Fax: 402-390-4115

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