SELINA E REVELS (NP) – Nurse Practitioner, NPI 1164416723

SELINA E REVELS (NP) is a healthcare provider. based in Alma, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN073465 (GA). The NPI Number for SELINA E REVELS (NP) is 1164416723

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SELINA E REVELS (NP)
NPI
1164416723
Phone
(912) 632-2952
Address
204 E 15TH ST
Enumeration Date
9 September 2005
Last Update Date
9 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074032228
Graduation Year
1998 (28 years ago)
PAC ID
1052390135
Group Practice PAC ID
2264862382
Professional Enrollment ID
I20040714000736
Address ID
GA315130516BA275XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for SELINA E REVELS (NP)

  • 204, East 15th Street, Alma, Bacon County, Georgia, 31510, United States

    ALMA, GA 315102908

    Phone: (912) 632-2952

    Fax: (912) 632-8682

    Type: Mailing

  • East 15th Street, Alma, Bacon County, Georgia, 31510, United States

    ALMA, GA 315102908

    Phone: (912) 632-2952

    Fax: (912) 632-8682

    Type: Location

  • 275 N MAIN ST

    BAXLEY, GA 315130516

    Phone: (912) 785-7022

    Fax: (912) 705-8010

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($51).

Total Amount

$199

General + Research + Ownership

Payments

11

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-14

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
I20040714000736INurse PractitionerGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7655$0
J0696Injection, ceftriaxone sodium, per 250 mg6817$0
99214Established patient office or other outpatient visit, 30-39 minutes6045$0
96372Injection of drug or substance under skin or into muscle3820$0
View full utilization report →

Insurance plans in this area (ZIP 31510)

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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: 2264862382View full group profile
NameSpecialtyState
Physician AssistantGA

Reviews

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Frequently asked questions

What is SELINA E REVELS (NP)'s NPI number?
SELINA E REVELS (NP)'s NPI is 1164416723 — the number used across U.S. healthcare to identify this provider.
Is SELINA E REVELS (NP) shown as active in public data?
Registry records indicate SELINA E REVELS (NP) maintains an active NPI.
What area of care is associated with SELINA E REVELS (NP)?
SELINA E REVELS (NP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is SELINA E REVELS (NP) registered?
Use Alma, Georgia as the headline location for SELINA E REVELS (NP) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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