Individual provider Active NPI

Craig Steven Zastrow, ANPC

  • Nurse Practitioner
  • Merrill, WI
National Provider Identifier
1407835903
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2546033 Issued in WI
Practice address
3430 E Main St
Merrill, WI 54452-9001
Phone
(715) 804-7500
NPI assigned
Jan 12, 2006
Last updated
Jan 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2546033 WI Primary

Addresses

Primary practice location

3430 E Main St
Merrill, WI 54452-9001

Mailing address

3430 E Main St
Merrill, WI 54452-9001
Phone (715) 804-7500

Other identifiers 1

IdentifierTypeStateIssuer
101778OtherWIRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050211000163 WI Practitioner - Nurse Practitioner 7911959507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 W Mohawk Dr
Tomahawk, WI 54487-2274
Phone (715) 453-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2546033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Apr 9, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Apr 9, 2022 Accepting new patients
Acuity Neurology, S.C. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

3430 E Main St
Merrill, WI 54452
Phone (715) 393-3900

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

1660 Sue Alan Dr
Wittenberg, WI 54499
Phone (715) 241-5426

Interoperability endpoints

  • Direct secure messaging: czastrow168919@direct.aspirus.org

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.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1407835903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E MAIN ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529001",
            "telephone_number": "715-804-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E MAIN ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529001",
            "telephone_number": "715-804-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASTROW",
        "first_name": "CRAIG",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "ANPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2546033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "101778",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrill, WI

Sources for this page

Verify at the official NPI Registry.