KAREN ZIKOSKY CRNP
NPI 1972988327
Nurse Practitioner - Family in Scranton, PA

Active since July 28, 2015PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
743 JEFFERSON AVE, SUITE 104, SCRANTON, PA 18510(570) 558-0182(570) 558-0183 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2021, Dec 12, 2015 (2 updates tracked since 2015).

About Karen Zikosky Crnp NPPES

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

KAREN ZIKOSKY CRNP (NPI 1972988327) is an individual family provider in Scranton, Pennsylvania, licensed in Pennsylvania (SP01533) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Wayne Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972988327
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN ZIKOSKYCredential: CRNP
Location Address743 JEFFERSON AVE, SUITE 104Scranton, PA 18510-1639
Mailing Address743 Jefferson Ave Ste 201Scranton, PA 18510-1638 · (570) 207-7500 · Fax (570) 207-3867
Fax(570) 558-0183
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 28, 2015
Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration
NPPES CertifiedJuly 30, 2021
NPI 1972988327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP01533
743 JEFFERSON AVE, Scranton, PA 18510

Other Names 1

Former Name (1)Karen Pisanchyn

Other Identifiers 1

Medicaid1028977480001PA

Accepted 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

Karen Zikosky Crnp 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 ID143530485
PECOS Enrollment IDI20151117001048
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
244 services182 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
211 services167 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18510 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.

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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Family Medicine
743 JEFFERSON AVE, STE 104
SCRANTON, PA 18510
Obstetrics & Gynecology
743 JEFFERSON AVE, SUITE 206
SCRANTON, PA 18510
Internal Medicine (Hematology & Oncology)
743 JEFFERSON AVE, SUITE 205
SCRANTON, PA 18510
Nurse Practitioner (Family)
743 JEFFERSON AVE, SUITE 203
SCRANTON, PA 18510
Internal Medicine (Pulmonary Disease)
743 JEFFERSON AVE
SCRANTON, PA 18510
Internal Medicine
743 JEFFERSON AVE
SCRANTON, PA 18510
Internal Medicine (Interventional Cardiology)
743 JEFFERSON AVE, SUITE 305
SCRANTON, PA 18510
Nurse Practitioner (Adult Health)
743 JEFFERSON AVE, SUITE 206
SCRANTON, PA 18510

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 Karen Zikosky's NPI number?

The NPI number for Karen Zikosky is 1972988327. It was assigned to this individual provider in the NPPES registry on July 28, 2015. The provider is also known as Karen Pisanchyn.

Where is Karen Zikosky located?

Karen Zikosky practices at 743 Jefferson Ave Suite 104, Scranton, PA 18510. The listed phone number is (570) 558-0182.

What is Karen Zikosky's specialty?

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

Is Karen Zikosky enrolled in Medicare?

Yes. Karen Zikosky 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 Karen Zikosky accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karen Zikosky 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.

Is Karen Zikosky affiliated with any hospitals?

According to CMS data, Karen Zikosky is affiliated with Wayne Memorial Hospital, Wilkes-Barre General Hospital and Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for Karen Zikosky was last updated on July 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.