ZACHARY AUSTIN KIETZMAN NP-C
NPI 1861012015
Nurse Practitioner - Primary Care in Farmington, CT

Q: What is Zachary Kietzman's NPI number?

The NPI number for Zachary Kietzman is 1861012015. It was assigned to this individual provider in the NPPES registry on April 17, 2020. The provider is also known as Zachary Austin Hill Np-C.

Q: What is Zachary Kietzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Kietzman was last updated on August 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 April 17, 2020PECOS Enrolled

3 FARM GLEN BLVD, FARMINGTON, CT 06030(803) 629-4134 Get Directions Write a Review

NPPES record last updated: August 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 20, 2023, Jul 6, 2020, Apr 17, 2020 (3 updates tracked since 2020).

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About Zachary Austin Kietzman Np-c NPPES

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

ZACHARY AUSTIN KIETZMAN NP-C (NPI 1861012015) is an individual primary care provider in Farmington, Connecticut, licensed in Connecticut (12068) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861012015

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameZACHARY AUSTIN KIETZMANCredential: NP-C

Location Address3 FARM GLEN BLVDFarmington, CT 06030-1285

Mailing Address87b Olive StNew Haven, CT 06511-6913 · (803) 629-4134

Phone(803) 629-4134

Sole ProprietorNo

Enumeration DateApril 17, 2020

Last NPPES UpdateAugust 20, 20233 updates tracked since enumeration

NPPES CertifiedAugust 20, 2023

✔ NPI 1861012015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Licenses✔ Licensed in CT · 12068✔ Licensed in GA · RN236642

Also ListedRegistered NurseTaxonomy 163W00000X · License 209707 (CT), RN236642 (GA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN236642 (GA), 12068 (CT)

3 FARM GLEN BLVD, Farmington, CT 06030

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Other Names 1

Former Name (1)Zachary Austin Hill Np-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Austin Kietzman Np-c 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 06030 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

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 Zachary Kietzman's NPI number?

The NPI number for Zachary Kietzman is 1861012015. It was assigned to this individual provider in the NPPES registry on April 17, 2020. The provider is also known as Zachary Austin Hill Np-C.

Where is Zachary Kietzman located?

Zachary Kietzman practices at 3 Farm Glen Blvd, Farmington, CT 06030. The listed phone number is (803) 629-4134.

What is Zachary Kietzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Zachary Kietzman enrolled in Medicare?

Yes. Zachary Kietzman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Kietzman was last updated on August 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.