Maverick Zietlow, PA-C
NPI 1912735879 · Physician Assistant · Queen Creek, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maverick Zietlow, PA-C is a Physician Assistant provider in Queen Creek, AZ (NPI 1912735879).
Provider details
- NPI number
- 1912735879
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-23
- Last updated
- 2024-07-23
- Certified
- 2024-07-23
Frequently asked questions
- What is Maverick Zietlow's NPI number?
- Maverick Zietlow's National Provider Identifier (NPI) is 1912735879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maverick Zietlow's specialty?
- Maverick Zietlow is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Maverick Zietlow located?
- Maverick Zietlow's practice location on file with NPPES is 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709.
- What is Maverick Zietlow's phone number?
- The practice phone number listed in the NPPES registry for Maverick Zietlow is (480) 512-3700.
- Does Maverick Zietlow accept Medicare?
- Maverick Zietlow is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maverick Zietlow's NPI active?
- Yes — Maverick Zietlow's NPI (1912735879) is active in the NPPES registry as of the last update on 2024-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.