VIRGINIA REVILL – Family Medicine Physician, NPI 1144859802

VIRGINIA REVILL is a healthcare provider. based in Newport, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 27359 (TN). The NPI Number for VIRGINIA REVILL is 1144859802

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
VIRGINIA REVILL
NPI
1144859802
Phone
(678) 793-5448
Address
1586 DEPAUL RD
Enumeration Date
5 April 2020
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8654121225
Graduation Year
2019 (7 years ago)
PAC ID
9335588839
Group Practice PAC ID
4183905292
Professional Enrollment ID
I20240417000780
Address ID
TN377385057GA1015XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for VIRGINIA REVILL

  • 1586 DEPAUL RD

    NEWPORT, TN 378216280

    Phone: (678) 793-5448

    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: 2024-04-17

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
I20240417000780INurse PractitionerTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37821)

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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: 4183905292View full group profile
NameSpecialtyState
Nurse PractitionerTN
Emergency MedicineTN
Nurse PractitionerTN
Nurse PractitionerMT

Reviews

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Frequently asked questions

Where can patients find VIRGINIA REVILL's NPI?
You can confirm VIRGINIA REVILL with NPI 1144859802; it appears in the national provider directory.
Is VIRGINIA REVILL's NPI currently valid?
The extract we use shows VIRGINIA REVILL as active.
What does VIRGINIA REVILL treat or focus on?
Patients typically see VIRGINIA REVILL under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does VIRGINIA REVILL practice in Tennessee?
You will see Newport, Tennessee on file for VIRGINIA REVILL alongside any extra practice locations.
What if Newport, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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