Jennifer Revoredo, PA
NPI 1801239363 · Medical Physician Assistant · South Orange, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Revoredo, PA is a Medical Physician Assistant provider in South Orange, NJ (NPI 1801239363).
Provider details
- NPI number
- 1801239363
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00304400 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
381 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 218 | $107 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 119 | $156 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 44 | $63 |
Typical Medicare-allowed amounts for these services range $63–$156 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 54 | 54 |
| Cephalexin | 30 | 30 |
| Prednisone | 29 | 29 |
| Methylprednisolone | 28 | 27 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 24 | 24 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 21 | 21 |
| Doxycycline Monohydrate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-15
- Last updated
- 2017-03-07
Frequently asked questions
- What is Jennifer Revoredo's NPI number?
- Jennifer Revoredo's National Provider Identifier (NPI) is 1801239363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Revoredo's specialty?
- Jennifer Revoredo is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Revoredo located?
- Jennifer Revoredo's practice location on file with NPPES is 20 Valley St Ste 320, South Orange, NJ 07079-2881.
- What is Jennifer Revoredo's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Revoredo is (973) 313-1113.
- Does Jennifer Revoredo accept Medicare?
- Jennifer Revoredo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Revoredo's NPI active?
- Yes — Jennifer Revoredo's NPI (1801239363) is active in the NPPES registry as of the last update on 2017-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.