NPPES file of Aug 9, 2026

Tisa Marie Revels, SA-C, KCSA

Surgical Assistant · Louisville, KY

Tisa Marie Revels, SA-C, KCSA is a surgical assistant with a practice address in Louisville, Kentucky, and NPI 1750424859, issued on Feb 15, 2007. Check the license (Kentucky SA029, as entered in NPPES) with the Kentucky board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1750424859
Name
Tisa Marie Revels
Credential
SA-C, KCSA
Primary taxonomy
Surgical Assistant 246ZC0007X
License number
SA029 KY
Self-reported in NPPES; status is on the state search
Practice location
4001 Kresge Way, Louisville, KY 40207
Phone
(502) 895-1995
Enumerated
Feb 15, 2007
Record last updated
Mar 3, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(502) 895-6479
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 4001 Kresge Way

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Andrew Bailey, M.D.Gastroenterology Physician1083616759
  2. Frank Bonnarens, MDOrthopaedic Surgery Physician1821021783
  3. David Borden, M.D.Orthopaedic Surgery Physician1467454397
  4. Reid Brown, M.D.Orthopaedic Surgery Physician1083616908
  5. Joseph Buecker, MDDermatology Physician1205848348
  6. Robert Cacchione, MDSurgery Physician1760462790

Verify Tisa Marie Revels in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
    Search for license SA029
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Kentucky license search

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Tisa Marie Revels among 164 surgical assistant records in Kentucky

Tisa Marie Revels, SA-C, KCSA is one of 164 surgical assistant records with a practice address in Kentucky. 0% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 4% of them.

  • NPI issued2007 · 4% of these records are older, 89% newer
  • In a Medicare fileNo · 0% of these records are
  • In the CMS Doctors and Clinicians fileNo · 2% of these records are
  • Record last updated2016 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 246ZC0007X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgical Assistant providers in Kentucky

There are 164 surgical assistant records in Kentucky. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 surgical assistant records with the nearest ZIP codes

  1. Jennifer BrownLouisville, KY 402071275909004
  2. Felicia Catron, CFALouisville, KY 402071396889978
  3. Karen Covington, CFALouisville, KY 402071568934180
  4. Kenneth Cox, KCSALouisville, KY 402071730243239
  5. William Cravens, KCSALouisville, KY 402071891919122
  6. Jennifer Heistand, CFALouisville, KY 402071912159542
  7. Kimberly Hunt, CSFALouisville, KY 402071114276482
  8. Michele LecatesLouisville, KY 402071538758545

Common questions

What is Tisa Marie Revels, SA-C, KCSA's NPI number?

Tisa Marie Revels, SA-C, KCSA's National Provider Identifier (NPI) is 1750424859, issued on Feb 15, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Tisa Marie Revels, SA-C, KCSA located?

The NPPES record lists a practice address at 4001 Kresge Way, Louisville, KY, 40207. Phone: (502) 895-1995. Providers update this record themselves, so call before visiting.

How can I verify Tisa Marie Revels, SA-C, KCSA's license?

NPPES lists Kentucky license number SA029, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.