Individual provider Active NPI

Keri Zimmerman

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Waterloo, IA
National Provider Identifier
1669003075
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
A157636 Issued in IA
Practice address
2710 Saint Francis Dr Ste 320
Waterloo, IA 50702-5620
Phone
(319) 272-5000
Fax
(319) 272-8072
NPI assigned
Feb 4, 2020
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A157636 IA Primary

Addresses

Primary practice location

2710 Saint Francis Dr Ste 320
Waterloo, IA 50702-5620

Mailing address

2710 Saint Francis Dr Ste 320
Waterloo, IA 50702-5620
Phone (319) 272-5000

Other practice location 1

701 10th St SE
Cedar Rapids, IA 52403-1251
Phone (319) 398-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20200305002962 IA Practitioner - Nurse Practitioner 6800223785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

3421 W 9TH St
Waterloo, IA 50702-5401

515 College St
Cedar Falls, IA 50613-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center Inc CurrentSince Feb 13, 2023 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Feb 13, 2023 Accepting new patients
Covenant Medical Center Inc Past Accepting new patients
Sartori Memorial Hospital Inc Past Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

2710 Saint Francis Dr
Ste 320
Waterloo, IA 50702
Phone (319) 272-8072

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

Interoperability endpoints

  • Direct secure messaging: kzimmerman3937999@direct.trinity-health.org

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.

Hospital & facility affiliations 2

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1669003075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 320",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025620",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 320",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025620",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-8072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 10th St SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524031251",
            "country_code": "US",
            "telephone_number": "319-398-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IA",
            "license": "A157636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.