Individual provider Active NPI

Amanda Zimmerman, CNM, FNP-C

  • Nurse Practitioner
  • Wellington, CO
National Provider Identifier
1609327121
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
C-APN.0105089-C-NP Issued in CO
Practice address
7859 6TH St
Wellington, CO 80549-5045
Phone
(970) 821-3200
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN231718 GA
Nurse Practitioner 363L00000X C-APN.0105089-C-NP CO Primary

Addresses

Primary practice location

7859 6TH St
Wellington, CO 80549-5045

Mailing address

6013 Saddlehorn Dr
Timnath, CO 80547-4329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200108000424 GA Practitioner - Certified Nurse Midwife (CNM) 1759715345
I20251009005040 CO Practitioner - Nurse Practitioner 1759715345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Health Physicians Colorado LLC 278 clinicians

Practice addresses (Care Compare)

7859 6TH St
Wellington, CO 80549-5045
Phone (970) 821-3200

Hospital & facility affiliations

  • Banner Fort Collins Medical Center Hospital, Fort Collins, CO, CCN 060126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0105089-C-NPCOMDNurse Practitioner
RN231718GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Oct 13, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Oct 13, 2025 Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

4650 Signal Tree Dr
Unit B200
Timnath, CO 80547
Phone (970) 810-3150

550 Peachtree St NE
Ste 1165
Atlanta, GA 30308
Phone (404) 523-7709

51 Hiram Dr
Bldg B
Hiram, GA 30141
Phone (678) 945-8300

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Interoperability endpoints

  • Direct secure messaging: azimmerman68025@directwellstar.org

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.

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1609327121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 SADDLEHORN DR",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7859 6TH ST",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805495045",
            "telephone_number": "970-821-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "AMANDA",
        "credential": "CNM, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN231718",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0105089-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, CO

Sources for this page

Verify at the official NPI Registry.