Individual provider Active NPI

Lynn Collette-Zachar, N.P.

  • Nurse Practitioner
  • Queensbury, NY
National Provider Identifier
1962552646
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F3347581 Issued in NY
Practice address
536 Bay Rd
Suite1
Queensbury, NY 12804-1425
Phone
(518) 793-2483
Fax
(518) 793-2485
NPI assigned
Jan 12, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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 F3347581 NY Primary

Addresses

Primary practice location

536 Bay Rd
Suite1
Queensbury, NY 12804-1425

Mailing address

536 Bay Rd
Suite1
Queensbury, NY 12804-1425
Phone (518) 793-2483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080418000237 NY Practitioner - Nurse Practitioner 8426136292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Pain Management PLLCGroup PAC ID 8325945199, 4 clinicians

Practice addresses (Care Compare)

9 Old Plank Rd
Suite 100
Clifton Park, NY 12065-3107
Phone 5183710777107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3347581NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Pain Management Services, PLLC CurrentSince Oct 7, 2024 Accepting new patients
New York Pain Management PLLC CurrentSince Oct 7, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince May 6, 2024 Accepting new patients

Locations

9 Old Plank Rd
Clifton Park, NY 12065
Phone (518) 371-0777

9 Old Plank Rd
#100
Clifton Park, NY 12065
Phone (518) 371-0777

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

375 Bay Rd
Ste 103
Queensbury, NY 12804
Phone (518) 371-0777

Interoperability endpoints

  • Direct secure messaging: lynn.zachar.1@22307.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1962552646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 BAY RD",
            "address_2": "SUITE1",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041425",
            "telephone_number": "518-793-2483",
            "fax_number": "518-793-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 BAY RD",
            "address_2": "SUITE1",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041425",
            "telephone_number": "518-793-2483",
            "fax_number": "518-793-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTE-ZACHAR",
        "first_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3347581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.