Individual provider Active NPI

Zachari Douglas Leazier, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1639897994
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R242127 Issued in MD
Practice address
19236 Meadow View Dr Ste 1
Hagerstown, MD 21742-2924
Phone
(301) 331-4135
Fax
(240) 559-1571
NPI assigned
Aug 22, 2022
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R242127 MD Primary
Registered Nurse 163W00000X R242127 MD
Registered Nurse 163W00000X RN728040 PA

Addresses

Primary practice location

19236 Meadow View Dr Ste 1
Hagerstown, MD 21742-2924

Mailing address

19236 Meadow View Dr Ste 1
Hagerstown, MD 21742-2924
Phone (301) 200-7241

Other practice location 1

43 Summit Ave
Hagerstown, MD 21740-5522
Phone (240) 242-4225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230227000026 MD Practitioner - Nurse Practitioner 9335512136 Reassigns benefits to 1 organization
I20241122000565 DC Practitioner - Nurse Practitioner 9335512136 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R242127MDMDRegistered Nurse
RN728040PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc CurrentSince Mar 23, 2023 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Meritus Medical Center Inc CurrentSince Mar 23, 2023 Accepting new patients
Maryland Wellness and Recovery, LLC CurrentSince Sep 10, 2024 Accepting new patients
Center for Dermatology - Erik B Hurst CurrentSince Oct 25, 2022 Accepting new patients
Maryland Wellness and Recovery, LLC CurrentSince Sep 24, 2024 Accepting new patients
Maryland Wellness and Recovery, LLC CurrentSince Sep 10, 2024 Accepting new patients
Meritus Medical Center Inc Past Accepting new patients

Locations

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

11116 Medical Campus Rd
Ste 2989
Hagerstown, MD 21742
Phone (301) 766-7600

19236 Meadow View Dr
Ste 1
Hagerstown, MD 21742
Phone (240) 347-4937

43 Summit Ave
Hagerstown, MD 21740

11125 Rockville Pike
Ste 302
Rockville, MD 20852
Phone (301) 770-5300

11125 Rockville Pike
Ste 306
Rockville, MD 20852
Phone (240) 240-4225

Organizations & group practices 9

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1639897994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19236 MEADOW VIEW DR STE 1",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422924",
            "telephone_number": "301-200-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19236 MEADOW VIEW DR STE 1",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422924",
            "telephone_number": "301-331-4135",
            "fax_number": "240-559-1571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405522",
            "country_code": "US",
            "telephone_number": "240-242-4225",
            "fax_number": "240-559-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAZIER",
        "first_name": "ZACHARI",
        "middle_name": "DOUGLAS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R242127",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R242127",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN728040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.