Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revonda Wills

Individual provider Family Nurse Practitioner · NPI 1932722485

Revonda Wills is a Nurse Practitioner in Princeton, West Virginia. Qualified in 2019, 7 years ago. Practices with Bluestone Health Association, Inc, a 38-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
7
Licensed in
WV
In the registry since
2020

Practice location Address checks out

365 Courthouse Rd
Princeton, WV 24740-2431
Phone: (304) 425-3922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 105555 (WV)

Record details

NPI number1932722485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing address365 Courthouse Rd, Princeton, WV 24740-2431

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bluestone Health Association, Inc. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Princeton