MR. KRISTIAN DEVERA ZACARIAS FNP
NPI 1285490268
Nurse Practitioner - Family in Rockaway Park, NY
About Mr. Kristian Devera Zacarias Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KRISTIAN DEVERA ZACARIAS FNP (NPI 1285490268) is an individual family provider in Rockaway Park, New York, licensed in New York (353630) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Kristian Devera Zacarias Fnp 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 Reassignment
Medicare enrollment records show Kristian Zacarias reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11205
- Reassigned Medicare billing, New York enrollment
- 73 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11694 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kristian Zacarias's NPI number?
The NPI number for Kristian Zacarias is 1285490268. It was assigned to this individual provider in the NPPES registry on February 26, 2024.
Where is Kristian Zacarias located?
Kristian Zacarias practices at 11506 Beach Channel Dr Ste 101, Rockaway Park, NY 11694. The listed phone number is (718) 474-7744.
What is Kristian Zacarias's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristian Zacarias enrolled in Medicare?
Yes. Kristian Zacarias 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 organization bills Medicare for Kristian Zacarias's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristian Zacarias reassigns Medicare benefits to Prominis Medical Services PC (Brooklyn, NY). The 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 Kristian Zacarias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristian Zacarias was last updated on February 26, 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.
# Mr. Kristian Devera Zacarias, FNP · NPI 1285490268
Family physician in Rockaway Park, New York. Individual provider, active in the CMS NPPES registry since February 26, 2024.
## Identity
- **NPI:** 1285490268 (Entity type: Individual)
- **Enumerated:** February 26, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 353630 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11506 BEACH CHANNEL DR STE 101, Rockaway Park, NY 11694-2113
- **Phone:** (718) 474-7744
## 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:** Prominis Medical Services PC (NPI 1841323771, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285490268) · Data from the CMS NPPES public registry.