Individual provider Active NPI

Amy Gene Zimmerman, FNP-BC

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1396980330
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704221219 Issued in MI
Practice address
4444 W Bristol Rd Ste 150
Flint, MI 48507-3161
Phone
(810) 230-9500
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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 4704221219 MI Primary

Addresses

Primary practice location

4444 W Bristol Rd Ste 150
Flint, MI 48507-3161

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (810) 603-3475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090120000366 MI Practitioner - Nurse Practitioner 4688750854 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James D Walker II MD Medical Arts, PLLC CurrentSince May 1, 2023 Accepting new patients
Vpa PC Current Accepting new patients
Ahmad Abdel-Halim, M.D., PLLC CurrentSince Jan 1, 2019 Accepting new patients
Genesys Integrated Group Practice PC Past Accepting new patients
HCR Manorcare Medical Services of Florida LLC Past Accepting new patients

Locations

2284 S Ballenger Hwy
Ste H
Flint, MI 48503
Phone (810) 221-7057

8483 Holly Rd
Ste 201
Grand Blanc, MI 48439
Phone (810) 694-3155

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

Organizations & group practices 5

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1396980330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "810-603-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W BRISTOL RD STE 150",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073161",
            "telephone_number": "810-230-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "AMY",
        "middle_name": "GENE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704221219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.