Mary Lou Zimmermann, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

CO1387 Issued in CO

Practice address

12230 Lioness Way
Parker, CO 80134

Phone

(303) 644-9355

NPI assigned

May 12, 2008

Last updated

Sep 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Merit-based Incentive Payment System (MIPS)

Final score

76.42 of 100Reported as apm

Quality

55.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Summit Medical Consultants Aco Prof LLC

  dba Summit Medical Consultants ACO

  • Internal Medicine Physician
  • Greenwood Village, CO
  • NPI 1891471207
  Medicare reassignment
• Summit Medical Consultants PLLC

  • Internal Medicine Physician
  • Greenwood Village, CO
  • NPI 1265822910
  Medicare reassignment
• Healthone Clinic Services - Otolaryngology Specialists LLC

  • Otolaryngology Physician
  • Aurora, CO
  • NPI 1891029385
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1063689701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345603",
            "telephone_number": "303-644-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "303-644-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5023 W 120th Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800205606",
            "country_code": "US",
            "telephone_number": "303-644-9355",
            "fax_number": "303-523-1654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "MARY",
        "middle_name": "LOU",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "CO1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Zahringer, PTA
• Kori Lynne Zedaker, AU.D.
• Karen B Zencius, DPT
• Alice Zhang, M.D.
• Madison Lee Zimmerman, PA-C
• Timothy Joshua Zittle, DC
• Kristin Zoelle, NP
• Mary Zukowski
• Lisa Ann Zuraff-Perryman, MD

• Medical Physician Assistant in Parker, CO
• Providers in Parker, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.