Individual provider Active NPI

Lisa Weber Zimmerer, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1457758336
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09531 Issued in TX
Practice address
7367 N Beach St
Ft Worth, TX 76137-1883
Phone
(682) 204-0042
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09531 TX Primary

Addresses

Primary practice location

7367 N Beach St
Ft Worth, TX 76137-1883

Mailing address

1429 Bluebonnet Dr
Fort Worth, TX 76111-1445
Phone (214) 908-8674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181004000455 TX Practitioner - Physician Assistant 9638421563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

1017 W Hebron Pkwy
Carrollton, TX 75010-1113
Phone (972) 939-9495

104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385

1501 SW Wilshire Blvd
Burleson, TX 76028-8715
Phone (817) 295-9400

1530 N Hwy 377
Roanoke, TX 76262-9116
Phone (682) 254-9920

1559 W Main St
Lewisville, TX 75067-3394
Phone (972) 436-0333

2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901

3520 NW Centre Dr
Fort Worth, TX 76135-3612
Phone (817) 375-2100

3600 FM 407
Suite 220
Bartonville, TX 76226-9722
Phone (940) 220-7510

377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945

4524 W Bailey Boswell Rd
Fort Worth, TX 76179-4319
Phone (817) 720-9685

454 N Jim Wright Fwy
White Settlement, TX 76108-1437
Phone (682) 703-4505

5301 William D Tate Ave
Suite 100
Grapevine, TX 76051-7357
Phone (817) 251-2101

720 S Main St
Keller, TX 76248-4936
Phone (817) 431-2800

7232 N Fwy
Fort Worth, TX 76137-2481
Phone (817) 439-8100

7400 McCart Ave
Fort Worth, TX 76133-7270
Phone (817) 294-1651

7400 N Macarthur Blvd
Irving, TX 75063-7508
Phone (469) 804-9295

779 Grapevine Hwy
Hurst, TX 76054-2805
Phone (817) 428-7300

8450 E Fwy
Fort Worth, TX 76120-4413
Phone (817) 459-2005

8901 N Fwy 111
Fort Worth, TX 76177-7655
Phone (469) 778-5228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09531TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Urgent Care, P.a. CurrentSince Jun 11, 2018 Accepting new patients

Locations

7367 N Beach St
Ft Worth, TX 76137
Phone (682) 204-0042

1669 S 9th St
Ste 100
Midlothian, TX 76065
Phone (817) 473-9473

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1457758336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 BLUEBONNET DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761111445",
            "telephone_number": "214-908-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7367 N BEACH ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761371883",
            "telephone_number": "682-204-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERER",
        "first_name": "LISA",
        "middle_name": "WEBER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.