NPIMap

Individual provider Active NPI

Zachary Lawrence Jesko, FNP-C

  • Family Nurse Practitioner
  • Demotte, IN
National Provider Identifier
1063963619
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0916896 Issued in IN
Practice address
221 W Division St
Demotte, IN 46310-8377
Phone
(219) 987-7005
Fax
(862) 298-0610
NPI assigned
Oct 19, 2016
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0916896 IN Primary
Critical Care Medicine Registered Nurse 163WC0200X 28163653A IN

Addresses

Primary practice location

221 W Division St
Demotte, IN 46310-8377

Mailing address

10548 N 100 W
Wheatfield, IN 46392-9713
Phone (219) 510-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170111000278 IN Practitioner - Nurse Practitioner 9032490735 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hansa Medical Groupe PLLCGroup PAC ID 5092881417, 40 clinicians

Practice addresses (Care Compare)

7250 Arthur Blvd
Merrillville, IN 46410-3766
Phone (219) 736-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28163653AINMDCritical Care Medicine Registered Nurse
F0916896INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hansamssp LLC CurrentSince Sep 11, 2025 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince May 7, 2018 Accepting new patients
Ny Long-Term Care Physician Services, PC CurrentSince Jan 1, 2026 Accepting new patients
Porter Health Services Past Accepting new patients
Northwest Indiana Nephrology PC Past Accepting new patients
Sudhakar Garlapati,M.D.,P.C Past Accepting new patients

Locations

521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1063963619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10548 N 100 W",
            "city": "WHEATFIELD",
            "state": "IN",
            "postal_code": "463929713",
            "telephone_number": "219-510-2515",
            "fax_number": "862-298-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W DIVISION ST",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108377",
            "telephone_number": "219-987-7005",
            "fax_number": "862-298-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESKO",
        "first_name": "ZACHARY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F0916896",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28163653A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demotte, IN

Sources for this page

Verify at the official NPI Registry.