Michele Leigh Zimmerman, C.R.N.P.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP009780 Issued in PA

Practice address

127 W Street Rd
Suite 101
Kennett Square, PA 19348-1698

Phone

(610) 444-1212

NPI assigned

Nov 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Willowdale Internal Medicine Associates LLC

  • Internal Medicine Physician
  • Kennett Square, PA
  • NPI 1649300161
  Medicare reassignment NPD
• Main Line Gastroenterology Associates, PC

  • Gastroenterology Physician
  • Malvern, PA
  • NPI 1467429365
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1730332768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S PARTRIDGE WAY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193204357",
            "telephone_number": "610-380-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W STREET RD",
            "address_2": "SUITE 101",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481698",
            "telephone_number": "610-444-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MICHELE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP009780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Yocum, PTA
• Jeana Young
• Jane Allyn Zernicke, MS CCC/SLP
• Lisa Ziemba
• Karl A. Zimmerman, MD
• Nicole Adina Zitarelli, DPT
• Alvaro Jose Zuluaga, MD

• Primary Care Nurse Practitioner in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.