Individual provider Active NPI

Edward D Zimmerman, M.D.

  • Emergency Medicine Physician
  • Worland, WY
National Provider Identifier
1386646669
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8034A Issued in WY
Practice address
316 N 10TH St
Worland, WY 82401-2307
Phone
(307) 347-8885
Fax
(307) 347-2428
NPI assigned
Jun 1, 2005
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8034A WY
Emergency Medicine Physician 207P00000X 8034A WY Primary
Family Medicine Physician 207Q00000X 8034A WY

Addresses

Primary practice location

316 N 10TH St
Worland, WY 82401-2307

Mailing address

316 N 10TH St
Worland, WY 82401-2307
Phone (307) 347-8885

Other identifiers 1

IdentifierTypeStateIssuer
100377060BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000010 WY Practitioner - Family Practice 0042276990 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
May accept Medicare assignment
Group practices
Weston County Hospital DistrictGroup PAC ID 0042293276, 12 clinicians
Cedar Hills Family Clinic, P.C.Group PAC ID 7315929056, 7 clinicians
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians

Practice addresses (Care Compare)

1121 Washington Blvd
Newcastle, WY 82701-2968
Phone (307) 746-6720

1124 Washington Blvd
Newcastle, WY 82701-2972
Phone (307) 746-4491

2100 W Sunset Dr
Riverton, WY 82501-2274
Phone (307) 856-4161

316 N 10TH St
Worland, WY 82401-2307
Phone (307) 347-8885

318 N 10TH St
Worland, WY 82401-2307

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8034AWYMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
West Park Hospital District CurrentSince Dec 1, 2015 Accepting new patients
Weston County Hospital District CurrentSince Nov 22, 2015 Accepting new patients
Big Horn Family Medicine LLC Family Medicine CurrentSince Mar 16, 2009 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Washakie Medical Center CurrentSince Jun 19, 2008 Accepting new patients
Memorial Hospital of Carbon County CurrentSince May 12, 2017 Accepting new patients
Washakie Medical Center CurrentSince Jun 19, 2008 Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
West Park Hospital District Current Accepting new patients
Weston County Hospital District CurrentSince Nov 22, 2015 Accepting new patients
Memorial Hospital of Carbon County CurrentSince May 12, 2017 Accepting new patients
West Park Hospital District Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Rawlins SNF Operations, LLC PastSince Aug 31, 2023 Accepting new patients
SNH Wy Tenant LLC Past Accepting new patients
North Big Horn Hospital District Past Accepting new patients
North Big Horn Hospital District Past Accepting new patients
Big Horn Family Medicine Past Accepting new patients

Locations

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

1124 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3715

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

316 N 10th St
Worland, WY 82401
Phone (307) 347-4151

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16076/brand/3/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sage View Care CenterRock Springs, WY, CCN 535056 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 30, 2025
Sep 1, 2025
Rawlins Rehabilitation and WellnessRawlins, WY, CCN 535036 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 30, 2025
Sep 30, 2025
Worland Health and RehabilitationWorland, WY, CCN 535048 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 30, 2025
Sep 30, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1386646669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N 10TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012307",
            "telephone_number": "307-347-8885",
            "fax_number": "307-347-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N 10TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012307",
            "telephone_number": "307-347-8885",
            "fax_number": "307-347-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "EDWARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WY",
            "license": "8034A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "8034A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "8034A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100377060B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

Verify at the official NPI Registry.