ZACKARY BUDISELIC (ARNP) – Family Nurse Practitioner, NPI 1063756989

ZACKARY BUDISELIC (ARNP) is a healthcare provider. based in Bremerton, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP60321259 (WA). The NPI Number for ZACKARY BUDISELIC (ARNP) is 1063756989

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ZACKARY BUDISELIC (ARNP)
NPI
1063756989
Phone
(360) 377-3776
Address
PO BOX 960
Enumeration Date
15 November 2012
Last Update Date
7 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603773776
Graduation Year
2012 (14 years ago)
PAC ID
9436302601
Group Practice PAC ID
9436044781
Professional Enrollment ID
I20130122000222
Address ID
WA983371420BR616XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for ZACKARY BUDISELIC (ARNP)

  • PO BOX 960

    BREMERTON, WA 983370212

    Phone: (360) 377-3776

    Type: Mailing

  • 616 6TH ST

    BREMERTON, WA 983371420

    Phone: (360) 377-3776

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-01-22

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
I20130122000222INurse PractitionerWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98337)

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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: 9436044781View full group profile
NameSpecialtyState
-WA
Physician AssistantWA
-WA
Mental Health CounselorWA
Internal MedicineCA
-WA
Physician AssistantCA
Physician AssistantWA
Nurse PractitionerWA
-WA

Reviews

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Frequently asked questions

Does ZACKARY BUDISELIC (ARNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ZACKARY BUDISELIC (ARNP) uses 1063756989.
Can I rely on ZACKARY BUDISELIC (ARNP) being an active provider?
As of the registry snapshot, ZACKARY BUDISELIC (ARNP) is marked active.
What is ZACKARY BUDISELIC (ARNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for ZACKARY BUDISELIC (ARNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect ZACKARY BUDISELIC (ARNP) on a map?
Expect Bremerton, Washington as a primary anchor for ZACKARY BUDISELIC (ARNP) unless the record lists multiple sites.
Why does ZACKARY BUDISELIC (ARNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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