DR. STEPHANIE MARIE REVELS (M.D.) – Family Medicine Physician, NPI 1043267404
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
Provider Addresses for DR. STEPHANIE MARIE REVELS (M.D.)
9840 W 87th St
Overland Park, KS 662124564
Phone: (913) 224-2112
Fax: (913) 392-9703
Type: Location
3135 PROSPECT AVE
KANSAS CITY, MO 641281552
Phone: (816) 209-1237
Fax: (816) 577-5091
Type: Location
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone: (615) 314-5257
Fax: (615) 692-0547
Type: Mailing
Old Winter Garden Road, Orlando, Orange County, Florida, 32805-1100, United States
ORLANDO, FL 328351348
Phone: (407) 751-7288
Fax: (407) 770-0661
Type: Mailing
Walgreens, 7500, Metcalf Avenue, Overland Park, Johnson County, Kansas, 66204, United States
OVERLAND PARK, KS 662042926
Phone: (913) 318-7447
Fax: (833) 966-1157
Type: Location
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: 2018-03-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071120000504 | I | Family Practice | KS | TBD |
| I20180326001795 | I | Family Practice | MO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| Nurse Practitioner | MO | |
| General Practice | MO | |
| Nurse Practitioner | MO | |
| Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Family Practice | IL | |
| Physician Assistant | MO |
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