Individual provider Active NPI

Jillian Hagerich

  • Psychiatric/Mental Health Nurse Practitioner
  • Lemoyne, PA
National Provider Identifier
1205206463
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP015422 Issued in PA
Practice address
600 N 12TH St Ste 100
Lemoyne, PA 17043-1218
Phone
(717) 216-2050
NPI assigned
Sep 30, 2015
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010592 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15230200 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0039078 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP015422 PA Primary

Addresses

Primary practice location

600 N 12TH St Ste 100
Lemoyne, PA 17043-1218

Mailing address

600 N 12TH St Ste 100
Lemoyne, PA 17043-1218
Phone (717) 216-2050

Other practice location 1

1150 1st Ave Ste 100
King Of Prussia, PA 19406-1363
Phone (215) 278-9248

Other names 1

  • Jillian Zimmerman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L8-0010592DEMDPsychiatric/Mental Health Nurse Practitioner
26NJ15230200NJMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0039078OHMDPsychiatric/Mental Health Nurse Practitioner
SP015422PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Allied Psychiatry & Psychology Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jillian.zimmerman.1@32853.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1205206463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 12TH ST STE 100",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431218",
            "telephone_number": "717-216-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 12TH ST STE 100",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431218",
            "telephone_number": "717-216-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 1st Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194061363",
            "country_code": "US",
            "telephone_number": "215-278-9248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGERICH",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010592",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15230200",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0039078",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP015422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "ZIMMERMAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.