Individual provider Active NPI

Heather Zimmerman, FNP-C

  • Family Nurse Practitioner
  • Louisville, IL
National Provider Identifier
1275302986
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.029088 Issued in IL
Practice address
935 Bryant St
Louisville, IL 62858-1053
Phone
(618) 662-2131
NPI assigned
Dec 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.029088 IL Primary

Addresses

Primary practice location

935 Bryant St
Louisville, IL 62858-1053

Mailing address

5809 Old Bible Grove Rd
Louisville, IL 62858-2643
Phone (217) 821-0562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240206002341 IL Practitioner - Nurse Practitioner 2668815796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ClayGroup PAC ID 0042101982, 77 clinicians

Practice addresses (Care Compare)

911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

929 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

935 Bryant St
Louisville, IL 62858-1053
Phone (618) 662-2131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.029088ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Clay Current Accepting new patients
County of Clay CurrentSince Jan 4, 2024 Accepting new patients
County of Clay CurrentSince Jan 4, 2024 Accepting new patients
County of Clay Past Accepting new patients

Locations

939 Sunset Rd SW
Clay City, IL 62824
Phone (686) 662-2131

911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161

929 Stacey Burk Dr
Flora, IL 62839

14265 Highway 45
Louisville, IL 62858

935 Bryant St
Louisville, IL 62858
Phone (618) 665-4500

Interoperability endpoints

  • Direct secure messaging: hzimmerman370902@direct-ehr-ssmhc.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1275302986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 OLD BIBLE GROVE RD",
            "city": "LOUISVILLE",
            "state": "IL",
            "postal_code": "628582643",
            "telephone_number": "217-821-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BRYANT ST",
            "city": "LOUISVILLE",
            "state": "IL",
            "postal_code": "628581053",
            "telephone_number": "618-662-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "HEATHER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.029088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, IL

Sources for this page

Verify at the official NPI Registry.