Brenda L Zimmerman, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2351 State Road 44
Oshkosh, WI 54904-6333

Phone

(920) 651-8855

Fax

(920) 385-0287

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brenda L Black Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: brenda.zimmerman@forefrontdermatology.emadirect.md

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1326190703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 STATE ROAD 44",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046333",
            "telephone_number": "920-651-8855",
            "fax_number": "920-385-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "2877-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brenda.Zimmerman@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2351 State Road 44",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549046333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BLACK",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lance Edward Zernzack, MD
• David Zerrien, MD
• Emily Ziegler
• Jennafer Ziemer, OD
• Kay Zier, APNP
• Kyle Zimmerman, DDS
• Kylie Aine Zimmerman, LMFT-IT
• Abigail Zink, BCBA
• Viann Zipperer
• Camille J Zizzo, DPM

• Physician Assistant in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.