Individual provider Active NPI

Richard C Zimm, PA-C

  • Surgical Physician Assistant
  • Erie, PA
National Provider Identifier
1629105085
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA052248 Issued in PA
Practice address
300 State St
Suite 205
Erie, PA 16507
Phone
(814) 456-6022
Fax
(814) 455-4731
NPI assigned
Feb 27, 2007
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA052248 PA Primary

Addresses

Primary practice location

300 State St
Suite 205
Erie, PA 16507

Mailing address

300 State St
Suite 205
Erie, PA 16507
Phone (814) 456-6022

Other identifiers 1

IdentifierTypeStateIssuer
8Y8753OtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rzmyslinski148982@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060124000839 PA Practitioner - Physician Assistant 0042234478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand, Microsurgery and Reconstructive Orthopaedics, LLPGroup PAC ID 7719037191, 8 clinicians

Practice addresses (Care Compare)

300 State St
Erie, PA 16507-1429
Phone (814) 456-6022

Merit-based Incentive Payment System (MIPS)

Final score
92.76 of 100Reported as group
Quality
85.53
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Therapeutics Inc CurrentSince Apr 6, 2025 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

300 State St
Ste 205
Erie, PA 16507
Phone (814) 456-6022

Interoperability endpoints

  • Direct secure messaging: rzimm@hmro.emadirect.md
  • Direct secure messaging: rzmyslinski148982@direct.ahn.org

Organizations & group practices 3

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1629105085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "SUITE 205",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16507",
            "telephone_number": "814-456-6022",
            "fax_number": "814-455-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "SUITE 205",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16507",
            "telephone_number": "814-456-6022",
            "fax_number": "814-455-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMM",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-04-03",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y8753",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rzmyslinski148982@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2315 Myrtle St Ste L10",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165024611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.