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ZACHARY THOMAS RENEW CRNA
NPI 1285262329
Nurse Anesthetist, Certified Registered in Fort Wayne, IN

Active since April 01, 2020
61.07/100
CMS Quality Rating
10315 DAWSONS CREEK BLVD STE AB, FORT WAYNE, IN 46825(260) 436-7875 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, Mar 25, 2023, Apr 1, 2020 (3 updates tracked since 2020).

About Zachary Thomas Renew Crna NPPES

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

ZACHARY THOMAS RENEW CRNA (NPI 1285262329) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28257474A) and active in the NPI registry since April 2020. He is affiliated with Parkview Whitley Hospital and is a graduate of Louisiana State University School Of Medicine In New Orleans (2020).

NPPES Registry Identity

NPI1285262329
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameZACHARY THOMAS RENEWCredential: CRNA
Location Address10315 DAWSONS CREEK BLVD STE ABFort Wayne, IN 46825-1912
Mailing AddressPo Box 843603Dallas, TX 75284-3603
Phone(260) 436-7875
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1285262329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IN · 28257474A
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
10315 DAWSONS CREEK BLVD STE AB, Fort Wayne, IN 46825
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Other Identifiers 1

Medicaid1285262329IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Thomas Renew Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709208937
PECOS Enrollment IDI20200617001043

Medicare Billing Reassignments

5

Medicare enrollment records show Zachary Renew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Associated Anesthesiologists Of Fort Wayne PC
9.4 mi
Anesthesiology
6435 W JEFFERSON BLVD # 434
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 138 clinicians in this Medicare group
NPI 1538159140 (260) 436-7875
Cameron Memorial Community Hospital Inc
32 mi
Rural Health
1500 W MAUMEE ST
Angola, IN 46703
  • Reassigned Medicare billing, Indiana enrollment
  • 133 clinicians in this Medicare group
NPI 1730357245 (260) 665-8494
Clinical Colleagues LLC
37 mi
Anesthesiology
1250 S WASHINGTON ST
Van Wert, OH 45891
  • Reassigned Medicare billing, Indiana enrollment
  • 100 clinicians in this Medicare group
NPI 1992725766 (850) 985-9180
Australia Anesthesia Management LLC
44 mi
Anesthesiology
200 HIGH PARK AVE
Goshen, IN 46526
  • Reassigned Medicare billing, Indiana enrollment
  • 83 clinicians in this Medicare group
NPI 1700601903 (574) 364-1000
Iceland Anesthesia Management, LLC
167 mi
Anesthesiology
1606 N 7TH ST
Terre Haute, IN 47804
  • Reassigned Medicare billing, Indiana enrollment
  • 166 clinicians in this Medicare group
NPI 1912578667 (833) 352-0096

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 4

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
28 services28 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
28 services28 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
15 services15 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

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.

61.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.2
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

JENNA GLORIA GARDNER CAA
Anesthesiologist Assistant
10315 DAWSONS CREEK BLVD STE AB
FORT WAYNE, IN 46825
Allen County (260) 436-7875
DR. COURTNEY J. LAUBACH MD
Anesthesiology
10315 DAWSONS CREEK BLVD STE AB
FORT WAYNE, IN 46825
Allen County (260) 436-7875
BRADLEY L SCHANTZ MD
Anesthesiology
10315 DAWSONS CREEK BLVD STE AB
FORT WAYNE, IN 46825
Allen County (260) 436-7875
MADELINE SIKES BROOKS CRNA
Nurse Anesthetist, Certified Registered
10315 DAWSONS CREEK BLVD STE AB
FORT WAYNE, IN 46825
Allen County (260) 436-7875
DR. JENNIFER HAGER DNP, MBA, CRNA
Nurse Anesthetist, Certified Registered
10315 DAWSONS CREEK BLVD STE AB
FORT WAYNE, IN 46825
Allen County (260) 436-7875
DR. DUSTIN JOSEPH HEATH DNP, CRNA
Nurse Anesthetist, Certified Registered
10315 DAWSONS CREEK BLVD STE AB
FORT WAYNE, IN 46825
Allen County (260) 436-7875
JACOB BROWN CRNA
Nurse Anesthetist, Certified Registered
10315 DAWSONS CREEK BLVD STE AB
FORT WAYNE, IN 46825
Allen County (260) 436-7875
ALLISON SUE BEITLER CRNA
Nurse Anesthetist, Certified Registered
10315 DAWSONS CREEK BLVD STE AB
FORT WAYNE, IN 46825
Allen County (260) 436-7875

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 Renew's NPI number?

The NPI number for Zachary Renew is 1285262329. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Zachary Renew located?

Zachary Renew practices at 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825. The listed phone number is (260) 436-7875.

What is Zachary Renew's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Zachary Renew enrolled in Medicare?

Yes. Zachary Renew is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Zachary Renew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Renew reassigns Medicare benefits to 5 organizations: Associated Anesthesiologists Of Fort Wayne PC (Fort Wayne, IN), Cameron Memorial Community Hospital Inc (Angola, IN), Clinical Colleagues LLC (Van Wert, OH), Australia Anesthesia Management LLC (Goshen, IN) and Iceland Anesthesia Management, LLC (Terre Haute, IN). 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 Renew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Renew accept?

Health plans from CareSource list Zachary Renew 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.

Is Zachary Renew affiliated with any hospitals?

According to CMS data, Zachary Renew is affiliated with Parkview Whitley Hospital.

When was this NPI record last updated?

The NPPES record for Zachary Renew was last updated on June 24, 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.