CARISSA ZACKUS RN
NPI 1578430302
Nurse Practitioner - Family in Wilkes Barre, PA

Q: What is Carissa Zackus's NPI number?

The NPI number for Carissa Zackus is 1578430302. It was assigned to this individual provider in the NPPES registry on October 17, 2025.

Q: What is Carissa Zackus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carissa Zackus was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since October 17, 2025PECOS Enrolled

335 S FRANKLIN ST, 335 S FRANKLIN ST, WILKES BARRE, PA 18702(570) 301-0924(570) 505-6224 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carissa Zackus Rn NPPES

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

CARISSA ZACKUS RN (NPI 1578430302) is an individual family provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (SP034284) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1578430302

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARISSA ZACKUSCredential: RN

Location Address335 S FRANKLIN ST, 335 S FRANKLIN STWilkes Barre, PA 18702-3808

Mailing Address335 S Franklin St, 335 S Franklin StWilkes Barre, PA 18702-3808 · (570) 825-6425 · Fax (570) 762-9011

Phone(570) 301-0924

Fax(570) 505-6224

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 17, 2025

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1578430302 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 PA · SP034284

Also ListedRegistered NurseTaxonomy 163W00000X · License RN706919 (PA)

335 S FRANKLIN ST, Wilkes Barre, PA 18702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa Zackus Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113419862

PECOS Enrollment IDI20251120003299

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

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