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VICKI SUE REVAK MSN, AGAC-BC
NPI 1972075356
Nurse Practitioner - Gerontology in Horsham, PA

Active since December 22, 2018PECOS EnrolledAccepts Medicare Assignment
680 BLAIR MILL RD, HORSHAM, PA 19044(267) 261-4413 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vicki Sue Revak Msn, Agac-bc NPPES

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

VICKI SUE REVAK MSN, AGAC-BC (NPI 1972075356) is an individual gerontology provider in Horsham, Pennsylvania, licensed in Pennsylvania (SP019667) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1972075356
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameVICKI SUE REVAKCredential: MSN, AGAC-BC
Location Address680 BLAIR MILL RDHorsham, PA 19044-2223
Mailing Address10757 Pont RdAlbion, PA 16401-8605 · (814) 336-4865
Phone(267) 261-4413
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 22, 2018
Last NPPES UpdateJune 24, 2019
✔ NPI 1972075356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP019667
680 BLAIR MILL RD, Horsham, PA 19044
Open in Google Maps ↗

Other Names 1

Former Name (1)Vicki Sue Kaiser

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.Insurance ›

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

Vicki Sue Revak Msn, Agac-bc 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 ID1456690288
PECOS Enrollment IDI20231026003050
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
156 services89 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
75 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
72 services67 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services15 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

University Hospitals Conneaut Medical Center

Critical Access Hospitals · Conneaut, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361308
Location158 West Main RoadConneaut, OH 44030 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DIANE LOUISE TROUTMAN NURSE PRACTITIONER
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (717) 919-6300
AMY SUSAN BLAKE FNP-BC
Nurse Practitioner
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (302) 304-6341
HIRAL PATEL FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (215) 902-9020
VANESSA RAE FISCHER CRNP
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (412) 956-5567
TAMIKA MICKIE
Nurse Practitioner (Gerontology)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (484) 781-5933
TRINKAL PATEL
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (484) 735-2255
ESTHER YEBOAH-AWUSI CRNP
Nurse Practitioner (Family)
680 BLAIR MILL RD, STE. 400
HORSHAM, PA 19044
Montgomery County (267) 965-7962
LORI A RUSKIN CRNP
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (215) 684-9301

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 Vicki Revak's NPI number?

The NPI number for Vicki Revak is 1972075356. It was assigned to this individual provider in the NPPES registry on December 22, 2018. The provider is also known as Vicki Sue Kaiser.

Where is Vicki Revak located?

Vicki Revak practices at 680 Blair Mill Rd, Horsham, PA 19044. The listed phone number is (267) 261-4413.

What is Vicki Revak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Vicki Revak enrolled in Medicare?

Yes. Vicki Revak 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.

What insurance does Vicki Revak accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Vicki Revak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vicki Revak affiliated with any hospitals?

According to CMS data, Vicki Revak is affiliated with Uh Regional Hospitals, University Hospitals Ahuja Medical Center, Uhhs Memorial Hospital Of Geneva and University Hospitals Conneaut Medical Center.

When was this NPI record last updated?

The NPPES record for Vicki Revak was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.