Active NPI
Reva Michelle Russ, FNP
- Family Nurse Practitioner
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024183254
- Practice address
- 5855 Bremo Rd Ste 706
Richmond, VA 23226-1926 - Phone
- (804) 287-4528
- NPI assigned
- Dec 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024183254 | VA | Primary |
Addresses
Primary practice location
5855 Bremo Rd Ste 706
Richmond, VA 23226-1926
Mailing address
111 Moore Ave
Colonial Heights, VA 23834-1311
Phone (048) 475-2858
Other names 1
- Reva Michelle Rodas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 N 28TH St
Richmond, VA 23223-5311
5855 Bremo Rd
Richmond, VA 23226-1924
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients |
Locations
4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
5855 Bremo Rd
Ste 706
Richmond, VA 23226
Phone (804) 287-4528
Interoperability endpoints
- rruss2943708@direct.bsmhealth.org
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
-
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1609536317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MOORE AVE",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238341311",
"telephone_number": "048-475-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 BREMO RD STE 706",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261926",
"telephone_number": "804-287-4528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "REVA",
"middle_name": "MICHELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-21",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024183254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REVA",
"last_name": "RODAS",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.