LYNNETTE RENEE REVILLE (M.A., CCC-A) – Audiologist, NPI 1316110216

LYNNETTE RENEE REVILLE (M.A., CCC-A) is a healthcare provider. based in Melbourne, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.A., CCC-A. They hold a License No. AY000498 (FL). The NPI Number for LYNNETTE RENEE REVILLE (M.A., CCC-A) is 1316110216

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
LYNNETTE RENEE REVILLE (M.A., CCC-A)
NPI
1316110216
Phone
(321) 508-6455
Address
1325 SOUTH APOLLO
Enumeration Date
11 April 2008
Last Update Date
4 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4344473151
Graduation Year
1987 (39 years ago)
PAC ID
9032285069
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20160620000213
Address ID
VA239704080SO1755XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

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Provider Addresses for LYNNETTE RENEE REVILLE (M.A., CCC-A)

  • Apollo, Annandale Road, Tullamarine, City of Hume, Victoria, 3042, Australia

    MELBOURNE, FL 32901

    Phone: (321) 508-6455

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160620000213IQualified AudiologistVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test114112$0
92567Test to assess middle ear function114112$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
Radiation OncologyVA
O T O L A R Y N G O L O G YVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for LYNNETTE RENEE REVILLE (M.A., CCC-A)?
LYNNETTE RENEE REVILLE (M.A., CCC-A) — NPI 1316110216 — is the standard way to identify this listing.
Can I rely on LYNNETTE RENEE REVILLE (M.A., CCC-A) being an active provider?
As of the registry snapshot, LYNNETTE RENEE REVILLE (M.A., CCC-A) is marked active.
What is LYNNETTE RENEE REVILLE (M.A., CCC-A)'s primary classification?
Audiologist is the headline specialty for LYNNETTE RENEE REVILLE (M.A., CCC-A) here. Clinical services aligned with this taxonomy classification.
Does LYNNETTE RENEE REVILLE (M.A., CCC-A) list a practice location?
Patients near Melbourne, Florida may find LYNNETTE RENEE REVILLE (M.A., CCC-A) in results; validate coverage separately.
Why does LYNNETTE RENEE REVILLE (M.A., CCC-A) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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