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

Ronelle Revilla

Individual provider Registered Nurse · NPI 1528693181

Ronelle Revilla is a Nurse Practitioner in Seattle, Washington. Qualified in 2020, 6 years ago. Practices with Virginia Mason Medical Center, a 867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1100 9th Ave
Seattle, WA 98101-2756
Phone: (206) 341-0394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1959 Ne Pacific Street, Seattle, WA 98195 — (206) 543-8736

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP61065135 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60560871 (WA)

Record details

NPI number1528693181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2020
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020
Mailing address1100 9th Ave, M4-Pfs, Seattle, WA 98101-2756

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Virginia Mason Medical Center — 867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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