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

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: November 01, 2026.

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carissa Zackus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Service Center Of Wyoming Valley, Inc
Same address
Counselor
335 S FRANKLIN ST
Wilkes Barre, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 53 clinicians in this Medicare group
NPI 1700861242 (570) 825-6425
Ophelia Medical Group Fl, P.A.
99 mi
Addiction Medicine
161 CECIL B MOORE AVE APT 204
Philadelphia, PA 19122
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Ophelia Medical Group Fl PA
  • 70 clinicians in this Medicare group
NPI 1588244750 (215) 585-2144

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 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.

DR. MD.MUSHFIQUR RAHMAN M.D.
Psychiatry & Neurology (Psychiatry)
335 S FRANKLIN ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-6425
THERESA JOHNSON LPC
Counselor (Professional)
335 S FRANKLIN ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-6425
ROSEMARY JACKSON LSW
Social Worker
335 S FRANKLIN ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-6425
JAMIE L PADULA LPC
Counselor (Professional)
335 S FRANKLIN ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-6425
DEBBIE TAYLOR LBHS
Behavior Analyst
335 S FRANKLIN ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-6425
ANITA LOUISE ZABOSKI LSW
Social Worker
335 S FRANKLIN ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-6425
MS. DANIELLE LEE ANTONINI MSW/LSW
Social Worker (Clinical)
335 S FRANKLIN ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-6425
BRITTANY MARIE KWIATKOWSKI LPN
Licensed Practical Nurse
335 S FRANKLIN ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-6425

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 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.

Where is Carissa Zackus located?

Carissa Zackus practices at 335 S Franklin St 335 S Franklin St, Wilkes Barre, PA 18702. The listed phone number is (570) 301-0924.

What is Carissa Zackus's specialty?

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

Is Carissa Zackus enrolled in Medicare?

Yes. Carissa Zackus is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carissa Zackus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Zackus reassigns Medicare benefits to 2 organizations: Children's Service Center Of Wyoming Valley, Inc (Wilkes Barre, PA) and Ophelia Medical Group Fl, P.A. (Philadelphia, PA). 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 Carissa Zackus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carissa Zackus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carissa Zackus 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.

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 12 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.