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MR. JUSTIN RYAN ZEMO FNP-BC
NPI 1942766639
Nurse Practitioner in Gadsden, AL

Active since February 18, 2019PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
300 MEDICAL CENTER DRIVE, SUITE 401, GADSDEN, AL 35903(256) 456-0226(256) 456-0231 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Oct 1, 2020, Mar 24, 2020 and 1 more (4 updates tracked since 2019).

About Mr. Justin Ryan Zemo Fnp-bc NPPES

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

MR. JUSTIN RYAN ZEMO FNP-BC (NPI 1942766639) is an individual nurse practitioner in Gadsden, Alabama, licensed in Alabama (1-146363) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1942766639
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JUSTIN RYAN ZEMOCredential: FNP-BC
Location Address300 MEDICAL CENTER DRIVE, SUITE 401Gadsden, AL 35903
Mailing Address300 Medical Center Drive, Suite 401Gadsden, AL 35903 · (256) 456-0226 · Fax (256) 456-0231
Phone(256) 456-0226
Fax(256) 456-0231
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 18, 2019
Last NPPES UpdateOctober 8, 20244 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1942766639 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
License✔ Licensed in AL · 1-146363
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 ListedRegistered NurseTaxonomy 163W00000X · License 1-146363 (AL)
300 MEDICAL CENTER DRIVE, Gadsden, AL 35903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Justin Ryan Zemo Fnp-bc 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 ID5294076766
PECOS Enrollment IDI20190410000694
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 35903 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

THE RUMLEY CENTER PC
Surgery (Plastic and Reconstructive Surgery)
300 MEDICAL CENTER DRIVE, SUITE 301
GADSDEN, AL 35903
Etowah County (256) 494-0888
RUSSELL S WHITAKER M.D.
Internal Medicine (Cardiovascular Disease)
300 MEDICAL CENTER DRIVE, SUITE 201
GADSDEN, AL 35903
Etowah County (256) 492-6982

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 Justin Zemo's NPI number?

The NPI number for Justin Zemo is 1942766639. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Where is Justin Zemo located?

Justin Zemo practices at 300 Medical Center Drive Suite 401, Gadsden, AL 35903. The listed phone number is (256) 456-0226.

What is Justin Zemo's specialty?

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

Is Justin Zemo enrolled in Medicare?

Yes. Justin Zemo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Zemo accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Justin Zemo 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 Justin Zemo was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.