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

Stephanie R Revord, APRN

Individual provider Women's Health Nurse Practitioner · NPI 1174992846

Stephanie R Revord, APRN is a Nurse Practitioner in Council Bluffs, Iowa. Graduated from University of Nebraska College of Medicine in 2015, 11 years ago. Practices with Physicians Clinic Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
11
Trained at
University of Nebraska College of Medicine
Licensed in
IA
In the registry since
2015
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

201 Ridge St Ste 312
Council Bluffs, IA 51503-4643
Phone: (712) 396-7880
Fax: (712) 396-7885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F141666 (IA)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence F141666 (IA)

Record details

NPI number1174992846
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 23, 2015
Last updated in NPPESJuly 3, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Physicians Clinic Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Council Bluffs