IndividualActive
Alyssa Zantello, PA-C
NPI 1780032524 · Physician Assistant · Cody, WY
Provider details
- NPI number
- 1780032524
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601007768 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
424 Yellowstone Ave Ste 120
Cody, WY 82414-9311
Phone: (307) 578-2903
Fax: (307) 578-2937
Street-level locationGet directions
Mailing address
707 Sheridan Ave
Cody, WY 82414-3409
Additional practice locations (2)
- 4100 Lake Dr Se Ste 300Grand Rapids, MI 49546-8292Phone: (616) 267-8860
- 707 Sheridan AveCody, WY 82414-3409Phone: (307) 578-2000Fax: (307) 578-2010
Registry dates
- Enumerated
- 2016-06-02
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.