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MR. RONALD ZACK NP-C
NPI 1104375732
Nurse Practitioner - Family in Tucson, AZ

Active since September 23, 2016PECOS EnrolledAccepts Medicare Assignment
80.09/100
CMS Quality Rating
6630 E CARONDELET DR, TUCSON, AZ 85710(520) 496-4649(949) 695-4900 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2021, Sep 23, 2016 (2 updates tracked since 2016).

About Mr. Ronald Zack Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RONALD ZACK NP-C (NPI 1104375732) is an individual family provider in Tucson, Arizona, licensed in Arizona (259986) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104375732
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. RONALD ZACKCredential: NP-C
Location Address6630 E CARONDELET DRTucson, AZ 85710-2119
Mailing Address1826 N Hayden DrTucson, AZ 85715-4561 · (520) 331-3232
Phone(520) 496-4649
Fax(949) 695-4900
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 23, 2016
Last NPPES UpdateMay 30, 20242 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1104375732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 259986
Also ListedRegistered NurseTaxonomy 163W00000X · License RN082944 (AZ)
6630 E CARONDELET DR, Tucson, AZ 85710
Open in Google Maps ↗

Secondary Practice Location 1

Location 11826 N Hayden DrTucson, AZ 85715-4561 · Phone (520) 331-3232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ronald Zack Np-c 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.

PECOS PAC ID4082081740
PECOS Enrollment IDI20221109001465
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost23.45

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS CATHLEEN LOPEZ RN
Nurse Practitioner (Psychiatric/Mental Health)
6630 E CARONDELET DR
TUCSON, AZ 85710
Pima County (520) 343-3775
WITH INTENTION COUNSELING
Counselor (Mental Health)
6630 E CARONDELET DR
TUCSON, AZ 85710
Pima County (520) 222-9344
SHAKA MENTAL WELLNESS LLC
Psychiatry & Neurology (Psychiatry)
6630 E CARONDELET DR
TUCSON, AZ 85710
Pima County (520) 343-3775
DR. GARY I GOLDSTEIN M.D.
Specialist
6630 E CARONDELET DR
TUCSON, AZ 85710
Pima County (520) 722-5868

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 Ronald Zack's NPI number?

The NPI number for Ronald Zack is 1104375732. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Where is Ronald Zack located?

Ronald Zack practices at 6630 E Carondelet Dr, Tucson, AZ 85710. The listed phone number is (520) 496-4649.

What is Ronald Zack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ronald Zack enrolled in Medicare?

Yes. Ronald Zack 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.

When was this NPI record last updated?

The NPPES record for Ronald Zack was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.