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

Justin C Reavley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295506491

Justin C Reavley is a Certified Registered Nurse Anesthetist (CRNA) in Edwardsville, Illinois. Practices as a sole proprietor and accepts Medicare assignment. Registered with an NPI since 2024.

In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Edwardsville, IL

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1295506491
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 16, 2024
Last updated in NPPESJanuary 16, 2024
Certification dateJune 13, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edwardsville