Zachary Austin Kietzman, NP-C
NPI 1861012015ActiveIndividual· Nurse Practitioner, Primary Care· Farmington, CT
Nurse Practitioner, Primary Care (NP-C) in Farmington, Connecticut, licensed in CT and GA, with an NPI issued in April 2020. Part D covered 34 prescriptions written in 2024, 100% of them generic. Cardiva Medical, Inc. reported $36.60 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1861012015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Apr 17, 2020 |
| Last updated in NPPES | Aug 20, 2023 |
| Certified by provider | Aug 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 12068 | CT |
| Registered Nurse | 163W00000X | 209707 | CT |
| Nurse Practitioner, Gerontology | 363LG0600X | RN236642 | GA |
| Registered Nurse | 163W00000X | RN236642 | GA |
| Nurse Practitioner, Gerontology | 363LG0600X | 12068 | CT |
| Nurse Practitioner, Primary Care | 363LP2300X | RN236642 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 34 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $365.48 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$36.60 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Cardiva Medical, Inc. | $36.60 | 2 |
What the 2024 payments were for
- Food and Beverage$36.60 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Primary Care providers in Farmington
- 1649813429
- 1407191034
- 1447504766
- 1548257090
- 1770954109
- 1811215320
- 1265836373
- 1649832247
- 1710520739
- 1578574406
- 1205192689
- 1518639905
All Nurse Practitioner, Primary Care providers in Connecticut →