Individual provider Active NPI

Barbara Ann Zimmerman Minnich, C.N.M.

  • Advanced Practice Midwife
  • Chicago, IL
National Provider Identifier
1275511925
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209.009431 Issued in IL
Practice address
5401 S Wentworth Ave
Chicago, IL 60609-6300
Phone
(773) 288-6900
Fax
(773) 268-3020
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209.009431 IL Primary
Advanced Practice Midwife 367A00000X 000727 NV
Advanced Practice Midwife 367A00000X 100316 OK

Addresses

Primary practice location

5401 S Wentworth Ave
Chicago, IL 60609-6300

Mailing address

5401 S Wentworth Ave
Chicago, IL 60609-6300
Phone (773) 288-6900

Other practice location 1

5761 S Fort Apache Rd
Las Vegas, NV 89148-5506
Phone (702) 341-6610

Other identifiers 5

IdentifierTypeStateIssuer
41449OtherOKOK BOARD OF NARCOTICS AND DANGEROUS DRUGS
200301730AMedicaidOK
000500804MedicaidNV
309.006128OtherILAPN CONTROLLED SUBSTANCE
CS12064OtherNVPHARMACY/CDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20210112001704 NV Practitioner - Nurse Practitioner 1850421777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Group II Rhodes P CGroup PAC ID 4981687779, 296 clinicians

Practice addresses (Care Compare)

7061 Grand Montecito Pkwy
Las Vegas, NV 89149-0287
Phone (702) 579-3253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209.009431ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C CurrentSince Jan 20, 2021 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jan 20, 2021 Accepting new patients
Southwest Medical Associates, Inc Past Accepting new patients
Havasu Regional Medical Center, LLC Past Accepting new patients

Locations

7061 Grand Montecito Pkwy
Las Vegas, NV 89149
Phone (702) 750-3800

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

2225 Civic Center Dr
North Las Vegas, NV 89030
Phone (702) 732-2020

Interoperability endpoints

  • Direct secure messaging: bzimmermanminnich120709@westdirect.optum.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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1275511925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096300",
            "telephone_number": "773-288-6900",
            "fax_number": "773-268-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096300",
            "telephone_number": "773-288-6900",
            "fax_number": "773-268-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5761 S Fort Apache Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485506",
            "country_code": "US",
            "telephone_number": "702-341-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN MINNICH",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.009431",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "000727",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OK",
            "license": "100316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK BOARD OF NARCOTICS AND DANGEROUS DRUGS",
            "identifier": "41449",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200301730A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000500804",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN CONTROLLED SUBSTANCE",
            "identifier": "309.006128",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY/CDS",
            "identifier": "CS12064",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.