Individual provider Active NPI

Zachary Michael Novotni, CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1033639935
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRNCNP021065 Issued in OH
Practice address
2050 Kenny Rd
Columbus, OH 43221-3502
Phone
(614) 293-4925
Fax
(614) 293-5503
NPI assigned
Jun 21, 2017
Last updated
Jul 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRNCNP021065 OH Primary
Acute Care Nurse Practitioner 363LA2100X 021065 OH

Addresses

Primary practice location

2050 Kenny Rd
Columbus, OH 43221-3502

Mailing address

1492 Runaway Bay Dr Apt 1C
Columbus, OH 43204-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815003127 OH Practitioner - Nurse Practitioner 8123390812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quest Recovery Center, LLCGroup PAC ID 3476974718, 15 clinicians

Practice addresses (Care Compare)

112 Harcourt Rd
Suite 2
Mount Vernon, OH 43050-3944
Phone (740) 326-6069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRNCNP021065OHMDNurse Practitioner
021065OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Recovery Center, LLC Acute Care Current Accepting new patients
Quest Recovery Center, LLC CurrentSince Oct 18, 2024 Accepting new patients
Osu Internal Medicine, LLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046

3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001

3094 W Market St
Ste 360
Fairlawn, OH 44333
Phone (614) 987-8847

112 Harcourt Rd
Ste 2
Mount Vernon, OH 43050
Phone (614) 987-8847

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1033639935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 RUNAWAY BAY DR APT 1C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213502",
            "telephone_number": "614-293-4925",
            "fax_number": "614-293-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNI",
        "first_name": "ZACHARY",
        "middle_name": "MICHAEL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRNCNP021065",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "021065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.