Active NPI
Natalie Rose Zimmer, PA-C
- Physician Assistant
- Cicero, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 027590-01
- Practice address
- 8003 Brewerton Rd
Cicero, NY 13039-9528 - Phone
- (315) 288-4006
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 027590-01 | NY | Primary |
Addresses
Primary practice location
8003 Brewerton Rd
Cicero, NY 13039-9528
Mailing address
8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Genesee St
Oneida, NY 13421-2703
Phone (315) 231-5530
18 Courtney Dr
Fairport, NY 14450-3338
Phone (585) 421-7537
3840 State Route 31
Liverpool, NY 13090-1310
Phone (315) 715-6319
446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496
4995 Wintersweet Dr
Liverpool, NY 13088-2176
Phone (315) 401-3210
6870 E Genesee St
Fayetteville, NY 13066-1031
Phone (315) 679-4367
7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064
8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027590 | NY | MD | Speech-Language Pathologist |
| 027590-01 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Urgent Care Clinic/Center
- Jamestown, NY
- NPI 1770850224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1457016156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 BREWERTON RD",
"city": "CICERO",
"state": "NY",
"postal_code": "130399528",
"telephone_number": "315-288-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8003 BREWERTON RD",
"city": "CICERO",
"state": "NY",
"postal_code": "130399528",
"telephone_number": "315-288-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "NATALIE",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-08",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "027590-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.