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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ZACKARY KINGSLEY
NPI 1720911365
Physician Assistant in Fort Myers, FL

Active since June 04, 2026PECOS Enrolled
16420 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908(239) 985-1925(239) 321-6044 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 2, 2026, Jun 4, 2026 (2 updates tracked since 2026).

About Zackary Kingsley NPPES

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

ZACKARY KINGSLEY (NPI 1720911365) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9122132) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1720911365
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameZACKARY KINGSLEY
Location Address16420 HEALTHPARK COMMONS DRFort Myers, FL 33908-9621
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 985-1925 · Fax (239) 321-6044
Phone(239) 985-1925
Fax(239) 321-6044
Sole ProprietorNo
Enumeration DateJune 4, 2026
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1720911365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9122132
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
16420 HEALTHPARK COMMONS DR, Fort Myers, FL 33908
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Secondary Practice Location 1

Location 11804 Pioneer RdLancaster, PA 17602-1518 · Phone (717) 419-0377

Other Identifiers 1

Medicaid132483200FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zackary Kingsley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33908 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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 15

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

RAYMOND SANTUCCI II MD
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
HOUTAN SAREH MD
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
MR. TIMOTHY LEE WATERS JR. ARNP
Nurse Practitioner (Gerontology)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
ZACHARY SCHEID DO
Internal Medicine (Critical Care Medicine)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
IMTIAZ AHMAD MD
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR, SUITE 100
FORT MYERS, FL 33908
Lee County (239) 437-6670
MR. BRIAN D. BROWN PA-C
Physician Assistant
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
DR. ASHISH MADHUKAR ADI MD
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
GENESISCARE USA OF FLORIDA LLC
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR, SUITE 100
FORT MYERS, FL 33908
Lee County (239) 369-5443

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 Zackary Kingsley's NPI number?

The NPI number for Zackary Kingsley is 1720911365. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Zackary Kingsley located?

Zackary Kingsley practices at 16420 Healthpark Commons Dr, Fort Myers, FL 33908. The listed phone number is (239) 985-1925.

What is Zackary Kingsley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Zackary Kingsley enrolled in Medicare?

Yes. Zackary Kingsley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zackary Kingsley was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.