MR. ZACHARY JOESPH WITGES AGNP
NPI 1801639596
Nurse Practitioner in Alton, IL

Q: What is Zachary Witges's NPI number?

The NPI number for Zachary Witges is 1801639596. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Q: What is Zachary Witges's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Witges was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 18, 2024PECOS EnrolledAccepts Medicare Assignment

4 MEMORIAL DR STE 230, ALTON, IL 62002(618) 463-7874(314) 996-7658 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Jan 3, 2025, Jun 18, 2024 (3 updates tracked since 2024).

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About Mr. Zachary Joesph Witges Agnp NPPES

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

MR. ZACHARY JOESPH WITGES AGNP (NPI 1801639596) is an individual nurse practitioner in Alton, Illinois, licensed in Illinois (209029825) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains a secondary practice location in Florissant.

NPPES Registry Identity

NPI1801639596

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. ZACHARY JOESPH WITGESCredential: AGNP

Location Address4 MEMORIAL DR STE 230Alton, IL 62002-6704

Mailing AddressPo Box 959203Saint Louis, MO 63195-8512 · (618) 234-2390 · Fax (314) 996-7658

Phone(618) 463-7874

Fax(314) 996-7658

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 18, 2024

Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1801639596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IL · 209029825✔ Licensed in MO · 2024043178

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209.029825 (IL)

4 MEMORIAL DR STE 230, Alton, IL 62002

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Secondary Practice Location 1

Location 11225 Graham Rd Ste 1220BFlorissant, MO 63031-8012 · Phone (618) 466-8666

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

Mr. Zachary Joesph Witges Agnp 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 ID3971035528

PECOS Enrollment IDI20241021002024, I20250131003379

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.

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 19

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

PUJA GURUNG M.D.

Family Medicine (Sleep Medicine)