Samantha Jo Zimmerman, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-78824-041 Issued in KS

Practice address

420 W 15TH Ave
Emporia, KS 66801-5367

Phone

(620) 342-4864

NPI assigned

Aug 5, 2019

Last updated

Aug 5, 2019By the provider in NPPES

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 names 1

• Miss Samantha Jo Bumgardner Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newman Memorial County Hospital

  dba Newman Medical Partners

  • Rural Health Clinic/Center
  • Emporia, KS
  • NPI 1114085594
  Medicare reassignment NPD
• Newman Memorial County Hospital

  dba Newman Regional Health

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576
  Medicare reassignment NPD
• Carearc, Inc.

  • Federally Qualified Health Center (FQHC)
  • Emporia, KS
  • NPI 1467413906
  NPD
• Carearc, Inc.

  • Public Health or Welfare Agency
  • Emporia, KS
  • NPI 1760658108
  NPD
• Newman Memorial County Hospital

  dba Newman Express Care

  • Urgent Care Clinic/Center
  • Emporia, KS
  • NPI 1922306729
  NPD

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1720633019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S 4TH ST",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668391913",
            "telephone_number": "620-583-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-342-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78824-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BUMGARDNER",
            "middle_name": "JO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie R Yoho, LMSW
• Leighton E York, APRN
• Michael Dean Yost, D.O.
• Krassina Young, SLP
• Audree Yowell

• Family Nurse Practitioner in Emporia, KS
• Providers in Emporia, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.