Debra Marie Zimmer, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71001236A Issued in IN

Practice address

6711 E Mount Eden Rd
Scottsburg, IN 47170

Phone

(812) 896-7301

Fax

(812) 258-3438

NPI assigned

Sep 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Np2U LLC

  • Family Nurse Practitioner
  • Scottsburg, IN
  • NPI 1710548979
  Medicare reassignment NPD Authorized official
• Southeastern Emergency Services of Memphis, P.C.

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1164454450

  IN, Nurse Practitioner

  Medicare reassignment NPD
• Indiana University Health Care Associates, Inc

  dba IU Health Physicians

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832
  NPD (past)
• Phoenix Emergency Services of Madison LLC

  • Emergency Medicine Physician
  • Madison, IN
  • NPI 1881683548

  Nurse Practitioner

  NPD (past)
• Washington County Memorial Hospital

  • Critical Access Hospital
  • Salem, IN
  • NPI 1124062419

  Nurse Practitioner

  NPD (past)
• Westmed, LLC

  • Durable Medical Equipment & Medical Supplies
  • Carmel, IN
  • NPI 1235521030
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1568458610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 E MOUNT EDEN RD",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471705309",
            "telephone_number": "812-896-7301",
            "fax_number": "812-258-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 E MOUNT EDEN RD",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "47170",
            "telephone_number": "812-896-7301",
            "fax_number": "812-258-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Mount Tabor Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471506951",
            "country_code": "US",
            "telephone_number": "812-542-1901",
            "fax_number": "812-542-1904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 Mount Tabor Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471506951",
            "country_code": "US",
            "telephone_number": "812-542-1901",
            "fax_number": "812-542-1904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001236A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200406830",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elijah Shay Wilkin, PHARMD
• Garrett Lee Wilson, DMD
• Randol Olen Woolbright Jr., D.D.S.
• David Yeager
• Noreen Elaine Young, MS, RD, LD
• Brenda Joyce Zollman, RN

• Nurse Practitioner in Scottsburg, IN
• Providers in Scottsburg, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.

Verify at the official NPI Registry.