Zak Jared Hinzmann

Individual provider Active NPI Certified Registered Nurse Anesthetist · Carroll, IA

NPI 1063153294 · NPPES record last updated Apr 3, 2022

Key facts

NPI
1063153294
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
D168270 (IA)
Practice address
311 S Clark St
Carroll, IA 51401-3038
Phone
(712) 792-3581
NPI assigned
Apr 3, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Medical Center (52 clinicians)

Practice addresses (Care Compare)

300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230

Hospital & facility affiliations

  • Shenandoah Medical Center Hospital · Shenandoah, IA · CCN 161366

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220504000279 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022405497 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Medical Center Current
since May 1, 2023
Accepting new patients
Shenandoah Medical Center Nurse Anesthetist, Certified Registered Current
since May 1, 2023
Accepting new patients
Shenandoah Medical Center Current Accepting new patients
St Anthony Regional Hospital and Nursing Home Current
since Apr 15, 2022
Accepting new patients
St Anthony Regional Hospital and Nursing Home Current
since Apr 15, 2022
Accepting new patients
Shenandoah Medical Center Past Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D168270 IA Yes

Addresses

Primary practice location

311 S Clark St
Carroll, IA 51401-3038

Mailing address

311 S Clark St
Carroll, IA 51401-3038
Phone (402) 203-1313

Other providers in Carroll, IA

All providers in Carroll, IA · Certified Registered Nurse Anesthetist in Iowa

Sources for this page

Verify at the official NPI Registry.