Revelstone Family Practice
NPI 1790143436ActiveOrganization· Family Medicine· Albemarle, NC
Family Medicine in Albemarle, North Carolina, registered in NPPES in February 2016. The authorized official on file is Edward Allen Kepp, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790143436 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2016 |
| Last updated in NPPES | Mar 17, 2021 |
| Certified by provider | Mar 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Family Medicine | 207Q00000X | 9400873 | NC |
| Nurse Practitioner, Family | 363LF0000X | — | — |
| Nurse Practitioner, Women's Health | 363LW0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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