Individual provider Active NPI

Suzan E Zimmer, DO

  • Family Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1750351151
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6842 Issued in FL
Practice address
3255 S US Highway 1
Fort Pierce, FL 34982-6381
Phone
(772) 742-9270
Fax
(772) 742-9278
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6842 FL Primary

Addresses

Primary practice location

3255 S US Highway 1
Fort Pierce, FL 34982-6381

Mailing address

3255 S US Highway 1
Fort Pierce, FL 34982-6381
Phone (772) 742-9270

Other practice location 1

2100 Nebraska Ave
Suite 111
Fort Pierce, FL 34950-4704
Phone (772) 242-1125

Other identifiers 7

IdentifierTypeStateIssuer
2973824001OtherFLCIGNA
281329OtherFLWELLCARE
P00053450OtherFLRAILROAD MEDICARE
57154XOtherFLMEDICARE ID
7380593OtherFLAETNA
020569100MedicaidFL
57154OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041113000160 FL Practitioner - Family Practice 8325002900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midway Primary Care LLCGroup PAC ID 8820386766, 5 clinicians

Practice addresses (Care Compare)

3255 S Federal Hwy
Fort Pierce, FL 34982-6381
Phone (772) 742-9270

3255 S US Hwy 1
Fort Pierce, FL 34982-6381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS6842FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc CurrentSince Apr 7, 2014 Accepting new patients
Midway Primary Care LLC CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Apr 7, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

806 S Douglas Rd
Ste 820
Coral Gables, FL 33134

3255 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 464-9746

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sandgate Gardens Rehab and Nursing CenterFort Pierce, FL, CCN 105382 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 27, 2018
Oct 14, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750351151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826381",
            "telephone_number": "772-742-9270",
            "fax_number": "772-742-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826381",
            "telephone_number": "772-742-9270",
            "fax_number": "772-742-9278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Nebraska Ave",
            "address_2": "SUITE 111",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504704",
            "country_code": "US",
            "telephone_number": "772-242-1125",
            "fax_number": "772-882-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "SUZAN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2973824001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "281329",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00053450",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "57154X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7380593",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020569100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57154",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.