Revonda D Peterson, ARNP - Medicare Nurse Practitioner in Cape Coral, FL

Revonda D Peterson, ARNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Cape Coral, Florida. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice M And H Med Housecalls Llc and her current practice location is 5420 Chiquita Blvd S Apt C, Cape Coral, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 240-0040.

Revonda D Peterson is licensed to practice in Florida (license number 11015620) 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 1891458683.

Contact Information

Revonda D Peterson, ARNP
5420 Chiquita Blvd S Apt C,
Cape Coral, FL 33914-7418
(239) 240-0040
Not Available

Map and Direction




Provider's Profile

Full NameRevonda D Peterson
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location5420 Chiquita Blvd S Apt C, Cape Coral, Florida
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:
  • Revonda D Peterson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1891458683
  • Provider Enumeration Date: 10/19/2021
  • Last Update Date: 10/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830610039
  • Enrollment ID: I20250304002698

Medical Identifiers

Medical identifiers for Revonda D Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891458683NPI-NPPES
03141975MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 11015620 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
M And H Med Housecalls Llc296175014624

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. Revonda D Peterson allows following entities to bill medicare on her behalf.
Entity NameM & H Med Housecalls Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427548304
PECOS PAC ID: 2961750146
Enrollment ID: O20180803001366

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. Revonda D Peterson 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
Revonda D Peterson, ARNP
5420 Chiquita Blvd S Apt C,
Cape Coral, FL 33914-7418

Ph: (239) 240-0040
Revonda D Peterson, ARNP
5420 Chiquita Blvd S Apt C,
Cape Coral, FL 33914-7418

Ph: (239) 240-0040

Reviews and Comments


Nurse Practitioner Nurses in Cape Coral, FL

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Kelsie Phillips,
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Medicare: Accepting Medicare Assignments
Practice Location: 708 Del Prado Blvd S Ste 7, Cape Coral, FL 33990
Phone: 239-424-3660    Fax: 239-424-3663

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.