Vicki Sue Revak, MSN, AGAC-BC
NPI 1972075356ActiveIndividual· Nurse Practitioner, Gerontology· Horsham, PA
Nurse Practitioner, Gerontology (MSN, AGAC-BC) with University Hospitals Medical Group Inc and 2 other groups, practicing in Horsham, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $54,230 for 883 claims, against $21,730 paid for services in 2024. Lists Uh Cleveland Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1972075356 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, AGAC-BC |
| Sole proprietor | No |
| NPI issued | Dec 22, 2018 |
| Last updated in NPPES | Jun 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | SP019667 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 159 |
|---|---|
| Services billed | 378 across 16 procedure codes |
| Paid by Medicare | $21,730 |
Part D prescriptions in 2024
| Prescriptions (claims) | 883 · 1,005 30-day fills |
|---|---|
| Patients | 209 |
| Total drug cost | $54,230 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- University Hospitals Medical Group IncCleveland, OH · 2,294 clinicians
- University Hospitals Geneva Medical CenterGeneva, OH · 17 clinicians
- University Hospitals Conneaut Medical CenterConneaut, OH · 8 clinicians
Hospital affiliations
- Uh Cleveland Medical CenterCleveland, OH
- Uh Regional HospitalsChardon, OH
- Uhhs Memorial Hospital of GenevaGeneva, OH
- University Hospitals Conneaut Medical CenterConneaut, OH
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 gerontology nurse practitioners in Horsham · All gerontology nurse practitioners in Pennsylvania