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

Mr. Kristian Devera Zacarias, FNP

Individual provider Family Nurse Practitioner · NPI 1285490268

Mr. Kristian Devera Zacarias, FNP is a Nurse Practitioner in Rockaway Park, New York. Qualified in 2023, 3 years ago. Practices with Prominis Medical Services PC, a 42-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

11506 Beach Channel Dr Ste 101
Rockaway Park, NY 11694-2113
Phone: (718) 474-7744
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 353630 (NY)

Record details

NPI number1285490268
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Prominis Medical Services Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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