Individual provider Active NPI

Haley Louise Zimmerman, FNP-C

  • Registered Nurse
  • Pasadena, MD
National Provider Identifier
1770276057
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R220155 Issued in MD
Practice address
8109 Ritchie Hwy Ste 100
Pasadena, MD 21122-6903
Phone
(443) 270-8600
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R220155 MD Primary

Addresses

Primary practice location

8109 Ritchie Hwy Ste 100
Pasadena, MD 21122-6903

Mailing address

123 Sandy Beach Dr
Pasadena, MD 21122-2453
Phone (141) 065-2545

Other practice location 1

123 Sandy Beach Dr
Pasadena, MD 21122-2453
Phone (141) 065-2545

Other names 1

  • Haley Zimmerman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231007000825 MD Practitioner - Family Practice 9133574320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

8109 Ritchie Hwy
Suite 100
Pasadena, MD 21122-6903
Phone (443) 481-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as group
Quality
67.28
Promoting interoperability
98
Improvement activities
40
Cost
72.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 11, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 11, 2023 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

8109 Ritchie Hwy
Ste 100
Pasadena, MD 21122
Phone (443) 270-8600

Interoperability endpoints

  • Direct secure messaging: hzimmerman160014@direct.aahs.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 and National Provider Directory roles.

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1770276057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SANDY BEACH DR",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222453",
            "telephone_number": "141-065-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 RITCHIE HWY STE 100",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226903",
            "telephone_number": "443-270-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Sandy Beach Dr",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211222453",
            "country_code": "US",
            "telephone_number": "141-065-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "HALEY",
        "middle_name": "LOUISE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R220155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "ZIMMERMAN",
            "credential": "BSN, RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.