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

Mr. Zachary Joesph Witges, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1801639596

Mr. Zachary Joesph Witges, AGNP is a Nurse Practitioner in Alton, Illinois. Qualified in 2023, 3 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
3
Licensed in
IL, MO
In the registry since
2024
Specialties on file
3
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

4 Memorial Dr Ste 230
Alton, IL 62002-6704
Phone: (618) 463-7874
Fax: (314) 996-7658
Show map & directions

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

Additional practice locations (1)

  • 1225 Graham Rd Ste 1220b, Florissant, MO 63031-8012 — (618) 466-8666

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209029825 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 209.029825 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 2024043178 (MO)

Record details

NPI number1801639596
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP
Sole proprietorNo
NPI enumeratedJune 18, 2024
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

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 Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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