Active NPI
Jill Zimmerman
- Certified Registered Nurse Anesthetist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R41645
- Practice address
- 801 Broadway N
Fargo, ND 58102-3641 - Phone
- (701) 234-6761
- NPI assigned
- Apr 15, 2015
- Last updated
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R41645 | ND | Primary |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-6761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glacial Ridge Hospital District
Practice addresses (Care Compare)
10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-4521
111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511
2600 Jefferson St
Suite 100
Alexandria, MN 56308-3410
Phone (320) 335-2167
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1835 | MN | MD | Professional Counselor |
| R41645 | ND | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Regional Anesthesia Services PA | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Allina Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| TTB Services Prof LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511
2600 Jefferson St
Ste 100
Alexandria, MN 56308
Phone (320) 335-2167
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300
649 State St NW
Evansville, MN 56326
Phone (218) 948-2040
712 S Cascade St
Fergus Falls, MN 56537
10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157
417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157
13911 Ridgedale Dr
Ste 404B
Minnetonka, MN 55305
Phone (612) 636-0061
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
Organizations & group practices 15
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.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
- Certified Registered Nurse Anesthetist
- Sioux Falls, SD
- NPI 1962743492
MN, Nurse Anesthetist, Certified Registered
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Brooten Medical Center
- Family Medicine Physician
- Brooten, MN
- NPI 1255348223
-
- Critical Access Hospital
- Glenwood, MN
- NPI 1538178520
-
dba Lake Region Healthcare
- Critical Access Hospital
- Elbow Lake, MN
- NPI 1407838329
-
- Anesthesiology Physician
- Minnetonka, MN
- NPI 1073621850
-
dba Buffalo Hospital CRNA
- Certified Registered Nurse Anesthetist
- Buffalo, MN
- NPI 1649211756
Nurse Anesthetist, Certified Registered
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba Heartland Orthopedic Specialists - Willmar
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1467318246
-
dba Starbuck Medical Center
- Rural Health Clinic/Center
- Starbuck, MN
- NPI 1063952026
-
- General Acute Care Hospital
- Fergus Falls, MN
- NPI 1093713372
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1730575861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581023641",
"telephone_number": "701-234-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581023641",
"telephone_number": "701-234-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "JILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R41645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.