Individual provider Active NPI

Nicole A Zimmerman, MSN,RN,NNP-BC

  • Critical Care Neonatal Nurse Practitioner
  • Norton, OH
National Provider Identifier
1053689778
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
COA.13258-NP Issued in OH
Practice address
2772 Himelrigh Blvd
Norton, OH 44203-3938
Phone
(330) 322-2993
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.348163- OH
Critical Care Neonatal Nurse Practitioner 363LN0005X COA.13258-NP OH Primary

Addresses

Primary practice location

2772 Himelrigh Blvd
Norton, OH 44203-3938

Mailing address

2772 Himelrigh Blvd
Norton, OH 44203
Phone (330) 322-2993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120621000498 OH Practitioner - Nurse Practitioner 0648434720 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.348163-OHMDRegistered Nurse
COA.13258-NPOHMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Akron General Medical Center CurrentSince May 30, 2020 Accepting new patients
Akron Children's Hospital Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Nov 7, 2024 Accepting new patients
Akron General Medical Center CurrentSince May 30, 2020 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Interoperability endpoints

  • Direct secure messaging: nzimmerman11385@direct.chmca.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1053689778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 HIMELRIGH BLVD",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "44203",
            "telephone_number": "330-322-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 HIMELRIGH BLVD",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442033938",
            "telephone_number": "330-322-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSN,RN,NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.348163-",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "OH",
            "license": "COA.13258-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, OH

Sources for this page

Verify at the official NPI Registry.