CHARLES PAUL ZAKUTANSKY FNP-C
NPI 1316626146
General Practice in Highland, IN

Active since July 18, 2023PECOS EnrolledAccepts Medicare Assignment
9030 CLINE AVE, HIGHLAND, IN 46322(219) 750-9497 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charles Paul Zakutansky Fnp-c NPPES

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

CHARLES PAUL ZAKUTANSKY FNP-C (NPI 1316626146) is an individual general practice provider in Highland, Indiana, licensed in Indiana (71014116A) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316626146
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCHARLES PAUL ZAKUTANSKYCredential: FNP-C
Location Address9030 CLINE AVEHighland, IN 46322-2204
Mailing Address2025 Cardinal DrWheatfield, IN 46392-7361 · (219) 241-6945
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
NPI 1316626146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IN · 71014116A
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9030 CLINE AVE, Highland, IN 46322

Other Identifiers 2

OtherF04230288American Academy Of Nurse Practitioners
Other28245123AIN · Indiana Nursing Board

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

Charles Paul Zakutansky Fnp-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 ID1355795873
PECOS Enrollment IDI20231002001698
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.

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
9030 CLINE AVE
HIGHLAND, IN 46322
Internal Medicine
9030 CLINE AVE
HIGHLAND, IN 46322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316626146, enumerated as an "individual" on July 18, 2023.

The provider is located at 9030 CLINE AVE HIGHLAND, IN 46322 and the phone number is (219) 750-9497.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Charles Zakutansky is affiliated with: ST MARY MEDICAL CENTER INC.