Jill Annemarie Zackrisson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101254457 Issued in VA

Practice address

2004 Bremo Rd Ste 100
Richmond, VA 23226-2442

Phone

(804) 442-7794

Fax

(804) 767-2030

NPI assigned

May 21, 2009

Last updated

Mar 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 28, 2020 through Aug 28, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bon Secours St Francis Medical Center LLC

  dba The Wound Center at St. Francis

  • Surgery Physician
  • Midlothian, VA
  • NPI 1083841936
  NPD (past)
• Bon Secours St. Francis Medical Center Inc

  dba Bon Secours Neurology Clinic

  • Neurology Physician
  • Chester, VA
  • NPI 1811228711
  NPD (past)
• Bon Secours St. Francis Medical Center LLC

  dba Internal Medicine Associates of Chesterfield

  • Internal Medicine Physician
  • Midlothian, VA
  • NPI 1053698399
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1568697415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 BREMO RD STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262442",
            "telephone_number": "804-442-7794",
            "fax_number": "804-767-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 BREMO RD STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262442",
            "telephone_number": "804-442-7794",
            "fax_number": "804-767-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACKRISSON",
        "first_name": "JILL",
        "middle_name": "ANNEMARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-00268",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101254457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nausheen Yunas, PSYD
• Ywca Richmond
• Raymond Zabinsky, D.C.
• Madge E Zacharias, MD
• Stacy L Zackowski, D.D.S.
• Linda Lynn Zaffram, LCSW
• Zaftig Express LLC
• Karen Zagayko, PH.D., LCP
• Nikola Zaharakis, MS
• Muhammad Asif Ali Zaidi, MD

• Family Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.