ZACHARY CHARLES NIESE RN, CNP
NPI 1063978690
Nurse Practitioner - Family in Pandora, OH
About Zachary Charles Niese Rn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY CHARLES NIESE RN, CNP (NPI 1063978690) is an individual family provider in Pandora, Ohio, licensed in Ohio (APRN.CNP.024287) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Zachary Charles Niese Rn, Cnp 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 Zachary Niese reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ottawa, OH 45875
- Reassigned Medicare billing, Ohio enrollment
- 228 clinicians in this Medicare group
Huber Heights, OH 45424
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Hometown Urgent Care Of Michigan PC
- 168 clinicians in this Medicare group
Huber Heights, OH 45424
- Reassigned Medicare billing, Ohio enrollment
- 42 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Ohio enrollment
- 55 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45877 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Zachary Niese's NPI number?
The NPI number for Zachary Niese is 1063978690. It was assigned to this individual provider in the NPPES registry on February 19, 2019.
Where is Zachary Niese located?
Zachary Niese practices at 2040 Road P, Pandora, OH 45877. The listed phone number is (419) 615-2983.
What is Zachary Niese's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Zachary Niese enrolled in Medicare?
Yes. Zachary Niese 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 Zachary Niese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Niese reassigns Medicare benefits to 4 organizations: Lima Memorial Professional Corporation (Ottawa, OH), Hometown Urgent Care Of Michigan, P.C. (Huber Heights, OH), Urgent Care Specialists, LLC (Huber Heights, OH) and Complexcare Medical Group Midwest M PLLC (Novi, MI). 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 Zachary Niese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zachary Niese accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Zachary Niese 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.
When was this NPI record last updated?
The NPPES record for Zachary Niese was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Zachary Charles Niese, RN, CNP · NPI 1063978690
Family physician in Pandora, Ohio. Individual provider, active in the CMS NPPES registry since February 19, 2019.
## Identity
- **NPI:** 1063978690 (Entity type: Individual)
- **Enumerated:** February 19, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.024287 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2040 ROAD P, Pandora, OH 45877-9733
- **Phone:** (419) 615-2983 · **Fax:** (833) 629-0555
## 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): Lima Memorial Professional Corporation (NPI 1508146416, Ottawa, OH); Hometown Urgent Care Of Michigan, P.C. (NPI 1790030385, Huber Heights, OH); Urgent Care Specialists, LLC (NPI 1114957123, Huber Heights, OH); Complexcare Medical Group Midwest M PLLC (NPI 1528851607, Novi, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, class of 2017
## Record status
- **NPPES last updated:** May 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063978690) · Data from the CMS NPPES public registry.