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ZACHARY REVETTE PA
NPI 1437856002
Physician Assistant - Medical in Oswego, NY

Active since February 14, 2023PECOS EnrolledAccepts Medicare Assignment
140 W 6TH ST STE 210, OSWEGO, NY 13126(315) 349-5800(315) 349-5800 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2025, Feb 14, 2023 (2 updates tracked since 2023).

About Zachary Revette Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY REVETTE PA (NPI 1437856002) is an individual medical provider in Oswego, New York, licensed in New York (033090) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437856002
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameZACHARY REVETTECredential: PA
Location Address140 W 6TH ST STE 210Oswego, NY 13126-2554
Mailing Address140 W 6th St Ste 210Oswego, NY 13126-2554 · (315) 349-5800 · Fax (315) 349-5785
Phone(315) 349-5800
Fax(315) 349-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 14, 2023
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1437856002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 033090
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
140 W 6TH ST STE 210, Oswego, NY 13126
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zachary Revette Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527596030
PECOS Enrollment IDI20250113000512
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Revette's NPI number?

The NPI number for Zachary Revette is 1437856002. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Where is Zachary Revette located?

Zachary Revette practices at 140 W 6th St Ste 210, Oswego, NY 13126. The listed phone number is (315) 349-5800.

What is Zachary Revette's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Zachary Revette enrolled in Medicare?

Yes. Zachary Revette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Zachary Revette affiliated with any hospitals?

According to CMS data, Zachary Revette is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Zachary Revette was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.