Jessica Marie Zimmer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11045 Issued in TX

Practice address

400 S Oak St Ste 120
Roanoke, TX 76262-6789

Phone

(817) 900-0304

Fax

(817) 900-0432

NPI assigned

Dec 19, 2016

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kallal Bros, LLC

  • Primary Care Clinic/Center
  • Roanoke, TX
  • NPI 1780153734
  NPD
• T Off Men'S Health

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1588094593
  NPD (past)
• T Off Men'S Health Keller, LLC

  • Family Medicine Physician
  • Keller, TX
  • NPI 1679016984
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1124563671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ARNOLD AVE APT 30",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664421602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S OAK ST STE 120",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626789",
            "telephone_number": "817-900-0304",
            "fax_number": "817-900-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Williams
• Nicholas Levi Wohlers, DC
• WTR Services LLC
• Kyung Ah Karen Yoo
• Yulia Rong LLC

• Physician Assistant in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.