Melissa Lynn Revello, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

RN622491 Issued in PA

Practice address

104 Byers Rd
Somerset, PA 15501-7752

Phone

(814) 233-0578

NPI assigned

Mar 8, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Melissa Lynn Hetrick Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: communitylife@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pittsburgh Care Partnership, Inc.

  • PACE Provider Organization
  • McKeesport, PA
  • NPI 1437205952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1407441728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SHAELI DR",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011805",
            "telephone_number": "814-443-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BYERS RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017752",
            "telephone_number": "814-233-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELLO",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "RN622491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TBD",
            "affiliation": "Y",
            "affiliationName": "Pittsburgh Care Partnership, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "118 Shaeli Dr",
            "city": "Somerset",
            "state": "PA",
            "country_code": "US",
            "postal_code": "155011805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HETRICK",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah L Reedy, RDH, PHDHP
• Jolene Regetta, LPC
• Renal Care Consultants, PC
• Chad Renna, CRS
• Renu Health LLC
• Revive Lymphatics LLC
• Nicole Marie Rhodes, MS, RD, LDN
• Kayla Danielle Rice, DPT
• Richard D. Grebosky D.P.M., P.C.
• Richard Irwin OD

• Gerontology Registered Nurse in Somerset, PA
• Providers in Somerset, PA by specialty
• Gerontology Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.