Individual provider Active NPI

Karen Zikosky, CRNP

  • Family Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1972988327
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP01533 Issued in PA
Practice address
743 Jefferson Ave
Suite 104
Scranton, PA 18510-1639
Phone
(570) 558-0182
Fax
(570) 558-0183
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP01533 PA Primary

Addresses

Primary practice location

743 Jefferson Ave
Suite 104
Scranton, PA 18510-1639

Mailing address

743 Jefferson Ave Ste 201
Scranton, PA 18510-1638
Phone (570) 207-7500

Other identifiers 1

IdentifierTypeStateIssuer
1028977480001MedicaidPA

Other names 1

  • Karen Pisanchyn Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karen.zikosky.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151117001048 PA Practitioner - Nurse Practitioner 0143530485 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scranton Cardiovascular Physician Services LLCGroup PAC ID 6204097975, 17 clinicians

Practice addresses (Care Compare)

743 Jefferson Ave
Suite 305
Scranton, PA 18510-1639
Phone (570) 342-1776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP01533PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC Family CurrentSince Sep 9, 2015 Accepting new patients
Scranton Cardiovascular Physician Services LLC CurrentSince Oct 18, 2016 Accepting new patients
Scranton Quincy Clinic Company LLC Family CurrentSince Sep 9, 2015 Accepting new patients
Commonwealth Physician Network LLC CurrentSince Oct 18, 2016 Accepting new patients
Wilkes-Barre Clinic Company LLC Past Accepting new patients
Great Valley Cardiology Associates PastSince Oct 18, 2016 Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

4 E Main St
Nanticoke, PA 18634
Phone (570) 258-3939

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

746 Jefferson Ave
Ste 104
Scranton, PA 18510
Phone (570) 207-0433

746 Jefferson Ave
Ste 305
Scranton, PA 18510
Phone (570) 342-1776

746 Jefferson Ave
Ste 201
Scranton, PA 18510
Phone (570) 342-1776

545 N River St
Ste 200
Wilkes Barre, PA 18702
Phone (570) 342-1776

Interoperability endpoints

  • Direct secure messaging: karen.zikosky.1@21771.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1972988327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE STE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101638",
            "telephone_number": "570-207-7500",
            "fax_number": "570-207-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE",
            "address_2": "SUITE 104",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101639",
            "telephone_number": "570-558-0182",
            "fax_number": "570-558-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIKOSKY",
        "first_name": "KAREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP01533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028977480001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.zikosky.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "743 Jefferson Ave Ste 201",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PISANCHYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.