Individual provider Active NPI

Nicole Lena Zarochak, MSN, CRNP, FNP-C

  • Family Nurse Practitioner
  • Bridgeville, PA
National Provider Identifier
1417482407
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9374632 Issued in FL
Practice address
197 Millers Run Rd Ste 220
Bridgeville, PA 15017-1308
Phone
(412) 914-3627
NPI assigned
Apr 27, 2017
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9374632 FL Primary

Addresses

Primary practice location

197 Millers Run Rd Ste 220
Bridgeville, PA 15017-1308

Mailing address

1731 Hastings Park Dr
Bridgeville, PA 15017-4223

Other names 1

  • Nicole Lena Greco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170829003381 FL Practitioner - Nurse Practitioner 5698048577 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
9374632FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atit Neurology PA CurrentSince Aug 1, 2017 Accepting new patients
Atlas Physical Therapy Inc. PastSince Aug 1, 2017 Accepting new patients

Locations

1011 US Highway 19
Holiday, FL 34691
Phone (727) 785-8256

Organizations & group practices 2

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1417482407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 HASTINGS PARK DR",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150174223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 MILLERS RUN RD STE 220",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171308",
            "telephone_number": "412-914-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAROCHAK",
        "first_name": "NICOLE",
        "middle_name": "LENA",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9374632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GRECO",
            "middle_name": "LENA",
            "credential": "MSN, CRNP, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.