VICKI SUE REVAK MSN, AGAC-BC
NPI 1972075356
Nurse Practitioner - Gerontology in Horsham, PA
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Vicki Revak reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conneaut, OH 44030
- Reassigned Medicare billing, Ohio enrollment
- 32 clinicians in this Medicare group
Geneva, OH 44041
- Reassigned Medicare billing, Ohio enrollment
- 25 clinicians in this Medicare group
Twinsburg, OH 44087
- Reassigned Medicare billing, Ohio enrollment
- 140 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, OHUh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHUhhs Memorial Hospital Of Geneva
Critical Access Hospitals · Geneva, OHUniversity Hospitals Conneaut Medical Center
Critical Access Hospitals · Conneaut, OHPhysician 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.
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.
HORSHAM, PA 19044
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.
Which organizations bill Medicare for Vicki Revak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vicki Revak reassigns Medicare benefits to 4 organizations: University Hospitals Conneaut Medical Center (Conneaut, OH), University Hospitals Geneva Medical Center (Geneva, OH), University Hospitals Ahuja Medical Center Inc (Twinsburg, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vicki Revak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vicki Revak accept?
Health plans from 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, Uh Cleveland 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.
# Vicki Sue Revak, MSN, AGAC-BC · NPI 1972075356
Gerontology physician in Horsham, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 22, 2018.
## Identity
- **NPI:** 1972075356 (Entity type: Individual)
- **Enumerated:** December 22, 2018
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** SP019667 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 680 BLAIR MILL RD, Horsham, PA 19044-2223
- **Phone:** (267) 261-4413
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Hospitals Conneaut Medical Center (NPI 1194109132, Conneaut, OH); University Hospitals Geneva Medical Center (NPI 1700261807, Geneva, OH); University Hospitals Ahuja Medical Center Inc (NPI 1396044350, Twinsburg, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1972075356) · Data from the CMS NPPES public registry.