Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Dawn Zantello, PA-C

Individual provider Physician Assistant · NPI 1780032524

Alyssa Dawn Zantello, PA-C is a Physician Assistant in Cody, Wyoming. Qualified in 2016, 10 years ago. Practices with West Park Hospital District, a 82-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Wyoming.

Years since qualifying
10
Licensed in
MI, WY
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

424 Yellowstone Ave Ste 120
Cody, WY 82414-9311
Phone: (307) 578-2903
Fax: (307) 578-2937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 — (616) 267-8860
  • 707 Sheridan Ave, Cody, WY 82414-3409 — (307) 578-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1004 (WY)
Physician Assistant Taxonomy 363A00000X · Licence 5601007768 (MI)

Record details

NPI number1780032524
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice West Park Hospital District — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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