Vanessa Zacroisky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9117057 Issued in FL

Practice address

13355 Tamiami TRL Unit E
North Port, FL 34287-2186

Phone

(941) 426-1235

Fax

(941) 426-4464

NPI assigned

Feb 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aldrich Cardiovascular InstituteGroup PAC ID 5597796664, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.38 of 100Reported as group

Quality

87.5

Improvement activities

40

Cost

77.51

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61104

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aldrich Cardiovascular Institute

  • Cardiovascular Disease Physician
  • Lakewood Ranch, FL
  • NPI 1184614851
  Medicare reassignment Care Compare group
• Accountable Inpatient Medicine

  • Internal Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1659936870
  Medicare reassignment
• Bay Area Cardiology Assoc. PA

  • Specialist
  • Brandon, FL
  • NPI 1336184746
  NPD (past)
• Advanced Pain Management Inc

  • Interventional Pain Medicine Physician
  • Stoneham, MA
  • NPI 1770685877
  NPD (past)

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1891491213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 TAMIAMI TRL UNIT E",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872186",
            "telephone_number": "414-261-2359",
            "fax_number": "941-426-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13355 TAMIAMI TRL UNIT E",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872186",
            "telephone_number": "941-426-1235",
            "fax_number": "941-426-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACROISKY",
        "first_name": "VANESSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vander M Wynn, MD
• Natali Yazgi
• Yellow Lotus Clinical Services for Healing & Wellness PLLC
• Tiffany Yelton
• Dawn Zack
• Jennifer Zambrano
• Naomi Zamudio
• Michael J. Zarilla, PA
• Eric Zheng, PHARMD
• Wendy Zinck-Ladd, CRSS

• Physician Assistant in North Port, FL
• Providers in North Port, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.