Individual provider Active NPI

Zachary Benjamin Retzler, PA

  • Medical Physician Assistant
  • Saginaw, MI
National Provider Identifier
1972886703
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006179 Issued in MI
Practice address
912 S Washington Ave
Suite 1
Saginaw, MI 48601-2564
Phone
(989) 790-1001
Fax
(989) 790-1002
NPI assigned
Sep 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601006179 MI Primary

Addresses

Primary practice location

912 S Washington Ave
Suite 1
Saginaw, MI 48601-2564

Mailing address

912 S Washington Ave
Suite 1
Saginaw, MI 48601-2564
Phone (989) 790-1001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zretzler17197@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20111110000782 MI Practitioner - Physician Assistant 7214101153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saginaw Cooperative Hospitals IncGroup PAC ID 3971400318, 74 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4170

912 S Washington Ave
Suite 1
Saginaw, MI 48601-2578
Phone (989) 790-1001

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006179MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc CurrentSince Aug 26, 2013 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Aug 26, 2013 Accepting new patients
Saginaw Cooperative Hospitals, Inc Past Accepting new patients

Locations

3190 Northridge Rd
Hale, MI 48739
Phone (989) 728-4211

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

912 S Washington Ave
Ste 1
Saginaw, MI 48601
Phone (989) 746-7857

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1972886703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S WASHINGTON AVE",
            "address_2": "SUITE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012564",
            "telephone_number": "989-790-1001",
            "fax_number": "989-790-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S WASHINGTON AVE",
            "address_2": "SUITE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012564",
            "telephone_number": "989-790-1001",
            "fax_number": "989-790-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZLER",
        "first_name": "ZACHARY",
        "middle_name": "BENJAMIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zretzler17197@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "912 S Washington Ave",
            "address_2": "Suite 1",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486012564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.