Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carissa Zackus, RN

Individual provider Family Nurse Practitioner · NPI 1578430302

Carissa Zackus, RN is a Nurse Practitioner in Wilkes Barre, Pennsylvania. Qualified in 2025, 1 year ago. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

335 S Franklin St 335 S Franklin St
Wilkes Barre, PA 18702-3808
Phone: (570) 301-0924
Fax: (570) 505-6224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP034284 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN706919 (PA)

Record details

NPI number1578430302
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 17, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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