Individual provider Active NPI

Nicole L Zahn, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Boca Raton, FL
National Provider Identifier
1598257271
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4155 Issued in FL
Practice address
1601 Clint Moore Rd Ste 180
Boca Raton, FL 33487-5713
Phone
(561) 929-0229
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 911 TN
Foot & Ankle Surgery Podiatrist 213ES0103X PO4155 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd Ste 180
Boca Raton, FL 33487-5713

Mailing address

5167 NW 48TH Ave
Coconut Creek, FL 33073-4904
Phone (954) 234-1670

Other practice location 1

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 757-1350

Other practice location 2

8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773
Phone (901) 725-8606

Other practice location 3

2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350

Other practice location 4

6025 Walnut Grove Rd Ste 301
Memphis, TN 38120-2123
Phone (901) 226-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510001625 TN Practitioner - Podiatry 5890104566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

6025 Walnut Grove Rd
Suite 301
Memphis, TN 38120-2123
Phone (901) 226-0456

8059 Stage Hills Blvd
Bartlett, TN 38133-4071
Phone (901) 383-4515

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue133
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
911TNMDPodiatrist
PO4155FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

401 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 772-4000

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

6025 Walnut Grove Rd
Ste 301
Memphis, TN 38120
Phone (901) 226-0456

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

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.

Hospital & facility affiliations 1

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1598257271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5167 NW 48TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734904",
            "telephone_number": "954-234-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 180",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875713",
            "telephone_number": "561-929-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8138 Country Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380162029",
            "country_code": "US",
            "telephone_number": "901-757-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8040 Wolf River Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381773",
            "country_code": "US",
            "telephone_number": "901-725-8606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Exeter Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383966",
            "country_code": "US",
            "telephone_number": "901-757-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6025 Walnut Grove Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202123",
            "country_code": "US",
            "telephone_number": "901-226-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAHN",
        "first_name": "NICOLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "911",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.