ANNE R ZAJAC (PA C) – Medical Physician Assistant, NPI 1104804707

ANNE R ZAJAC (PA C) is a healthcare provider. based in Salem, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. 50.002141RX (OH). The NPI Number for ANNE R ZAJAC (PA C) is 1104804707

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ANNE R ZAJAC (PA C)
NPI
1104804707
Phone
(330) 271-8614
Address
2525 E State St
Enumeration Date
4 January 2006
Last Update Date
7 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3309658760
Graduation Year
2003 (23 years ago)
PAC ID
1850311911
Group Practice PAC ID
3971561648
Professional Enrollment ID
I20150416002233
Address ID
OH445124222BO987XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for ANNE R ZAJAC (PA C)

  • 2525 E State St

    Salem, OH 444609301

    Phone: (330) 271-8614

    Fax: (330) 525-9008

    Type: Location

  • 111 NEW HAMPSHIRE AVE STE 2

    PORTSMOUTH, NH 038012864

    Phone: (802) 909-2053

    Type: Mailing

  • Jefferson Avenue, South Linden, Columbus, Sharon, Franklin County, Ohio, 43211, United States

    SHARON, PA 161463342

    Phone: (724) 983-1355

    Fax: (724) 981-1605

    Type: Mailing

  • Sharon Regional Health System, 740, East State Street, Sharon, Mercer County, Pennsylvania, 16146, United States

    SHARON, PA 161463328

    Phone: (724) 983-3911

    Type: Location

  • 987 BOARDMAN CANFIELD RD

    BOARDMAN, OH 445124222

    Phone: (330) 271-8589

    Fax: (330) 965-9325

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 185 Open Payments records for all available years, with a total value of $4,175.

Total Amount is formed as General ($4,175) + Research ($0) + Ownership ($0) = $4,175.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,199).

Total Amount

$4,175

General + Research + Ownership

Payments

185

Total payment records

General Amount

$4,175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150416002233IPhysician AssistantOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1,040733$0
17003Destruction of precancer skin growth, 2-14 growths667163$0
17000Destruction of precancer skin growth, 1 growth327241$0
11301Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm317215$0
11300Shaving of skin growth of body, arms, or legs, 0.5 cm or less217163$0
View full utilization report →

Insurance plans in this area (ZIP 44460)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971561648View full group profile
NameSpecialtyState
D E R M A T O L O G YNH
D E R M A T O L O G YNH
Nurse PractitionerOH
D E R M A T O L O G YOH
Physician AssistantNH
D E R M A T O L O G YOH
Physician AssistantNH
D E R M A T O L O G YNH
D E R M A T O L O G YOH
P A T H O L O G YNH

Reviews

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Frequently asked questions

How do payers reference ANNE R ZAJAC (PA C)?
For ANNE R ZAJAC (PA C), use NPI 1104804707 as the unique 10-digit identifier.
Active or inactive — what applies to ANNE R ZAJAC (PA C)?
You should see ANNE R ZAJAC (PA C) as active in CMS-hosted NPPES data.
What kind of doctor is ANNE R ZAJAC (PA C)?
ANNE R ZAJAC (PA C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANNE R ZAJAC (PA C)?
Travel planning: use Salem, Ohio as the reference point for ANNE R ZAJAC (PA C), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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