Individual provider Active NPI

Robert Shaun Revels, CRNA

  • Certified Registered Nurse Anesthetist
  • Silverton, OR
National Provider Identifier
1548645534
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60578737 Issued in WA
Practice address
342 Fairview St
Silverton, OR 97381-1917
Phone
(503) 873-1500
NPI assigned
Jul 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 10025383 OR
Certified Registered Nurse Anesthetist 367500000X AP60578737 WA Primary
Certified Registered Nurse Anesthetist 367500000X 2021037326 MO

Addresses

Primary practice location

342 Fairview St
Silverton, OR 97381-1917

Mailing address

6620 Shadow Creek LN NE
Olympia, WA 98516-6504

Other practice location 1

209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8250

Other practice location 2

Landstuhl Regional Medical Center
Unit 33100
Apo, AE 09180-3100
Phone (314) 590-7028

Other practice location 3

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, MO, AR, OR5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190313001305 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729328695 Reassigns benefits to 5 organizations
I20190815001659 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729328695 Reassigns benefits to 2 organizations
I20220813000705 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729328695 Reassigns benefits to 3 organizations
I20230331001646 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729328695
I20250424003552 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729328695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paceline Anesthesia, PLLCGroup PAC ID 5799853099, 36 clinicians
Gastroenterology Associates Clinical Practice PLLCGroup PAC ID 2062770605, 17 clinicians
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

Practice addresses (Care Compare)

1900 Cooks Hill Rd
Centralia, WA 98531-9073
Phone (360) 330-1870

209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8250

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-2803

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Anesthesia Specialists, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Olympia Orthopaedic Associates, PLLC CurrentSince Mar 1, 2024 Accepting new patients
St Lukes East Anesthesia Services,P.C. CurrentSince Oct 1, 2022 Accepting new patients
Oregon Anesthesiology Group PC CurrentSince Dec 24, 2023 Accepting new patients
Olympia Orthopaedic Associates PLLC CurrentSince Mar 1, 2024 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jun 24, 2019 Accepting new patients
Meritas Health Corporation CurrentSince Apr 3, 2023 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince May 11, 2023 Accepting new patients
Silverton Health CurrentSince Apr 15, 2025 Accepting new patients
Meritas Health Corporation CurrentSince Apr 3, 2023 Accepting new patients
Capital Anesthesia Solutions of Arkansas, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Gastroenterology Associates Clinical Practice, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2026 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 11, 2023 Accepting new patients
Silverton Health Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2025 Accepting new patients
Emerald Valley Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Jan 1, 2024 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations (25 of 35)

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

400 10th St E
Waconia, MN 55387

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

5151 NW 88th St
Kansas City, MO 64154
Phone (816) 420-3939

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

2111 N Woodbine Rd
Saint Joseph, MO 64506
Phone (816) 364-6416

506 Burkarth Rd
Ste B
Warrensburg, MO 64093
Phone (660) 747-1888

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

2115 NE Wyatt Ct
Ste 201
Bend, OR 97701
Phone (541) 610-7246

360 S Garden Way
Ste 230
Eugene, OR 97401
Phone (541) 344-4168

360 S Garden Way
Ste 290
Eugene, OR 97401
Phone (541) 844-1807

74B Centennial Loop
Ste 200
Eugene, OR 97401
Phone (541) 393-0925

590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559

707 SW Washington St
Ste 700
Portland, OR 97205

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

2445 Beverly St
Springfield, OR 97477
Phone (541) 284-3052

3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

Interoperability endpoints

  • Direct secure messaging: rrevels463580@direct.saint-lukes.org
  • Direct secure messaging: rrevels699852@direct.kuha.org
  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1548645534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 SHADOW CREEK LN NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985166504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FAIRVIEW ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811917",
            "telephone_number": "503-873-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065030",
            "country_code": "US",
            "telephone_number": "360-413-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
            "address_2": "UNIT 33100",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "091803100",
            "country_code": "US",
            "telephone_number": "314-590-7028",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "2700 Clay Edwards Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163254",
            "country_code": "US",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVELS",
        "first_name": "ROBERT",
        "middle_name": "SHAUN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "10025383",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60578737",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2021037326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.