Kaylie D'Ann Zimmerman, APRN-MSN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-77746 Issued in KS

Practice address

1110 Columbine Drive
Holton, KS 66436-8824

Phone

(785) 364-2116

Fax

(785) 364-9613

NPI assigned

Jul 17, 2017

Last updated

Mar 19, 2026By 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 3

Addresses

Other identifiers 4

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Resources of Jackson Co IncGroup PAC ID 7810807690, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holton Community Hospital Hospital, Holton, KS, CCN 171319
• Ellsworth County Medical Center Hospital, Ellsworth, KS, CCN 171327
• Hiawatha Community Hospital Hospital, Hiawatha, KS, CCN 171341
• Community Hospital, Onaga and St Marys Campus Hospital, Onaga, KS, CCN 171354

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaylie.zimmerman.1@11418.direct.athenahealth.com
• Direct secure messaging: kaylie.zimmerman.1@16424.direct.athenahealth.com

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.

• Rural Health Resources of Jackson Co Inc

  • Multi-Specialty Clinic/Center
  • Holton, KS
  • NPI 1235238296
  Medicare reassignment Care Compare group NPD
• Ellsworth County Medical Center

  • Critical Access Hospital
  • Ellsworth, KS
  • NPI 1083614028
  Medicare reassignment NPD
• Ellsworth County Medical Center

  dba ECMC Rural Health Clinic Ellsworth

  • Rural Health Clinic/Center
  • Ellsworth, KS
  • NPI 1972504546
  Medicare reassignment NPD
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha

  • Critical Access Hospital
  • Hiawatha, KS
  • NPI 1255421210
  Medicare reassignment NPD
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha

  • Nutrition Education Nutritionist
  • Hiawatha, KS
  • NPI 1518572395
  Medicare reassignment NPD
• Minor Med PA

  • Clinic/Center
  • Topeka, KS
  • NPI 1093827511
  Medicare reassignment NPD
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha Professional Services

  • Family Medicine Physician
  • Hiawatha, KS
  • NPI 1831273044

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Healthcare System, Inc

  dba Community Hospital Onaga & St Marys

  • Critical Access Hospital
  • Onaga, KS
  • NPI 1457351389
  Care Compare affiliation
• Ellsworth County Medical Center

  • Critical Access Hospital
  • Ellsworth, KS
  • NPI 1083614028
  Care Compare affiliation
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha

  • Critical Access Hospital
  • Hiawatha, KS
  • NPI 1255421210
  Care Compare affiliation
• Rural Health Resources of Jackson Co Inc

  dba Holton Community Hospital

  • Critical Access Hospital
  • Holton, KS
  • NPI 1902805716
  Care Compare affiliation

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1790207207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COLUMBINE DRIVE",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664368824",
            "telephone_number": "785-364-2116",
            "fax_number": "785-364-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COLUMBINE DRIVE",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664368824",
            "telephone_number": "785-364-2116",
            "fax_number": "785-364-9613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "fax_number": "785-742-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KAYLIE",
        "middle_name": "D'ANN",
        "credential": "APRN-MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-77746",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "77746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003913850001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420167256",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "004030048",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10030260000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley R Clark, OD & Nicole L Meerpohl, OD
• Barbara Wheeler, CPTA
• Sarah Wrench, OT
• Jerry E Young, D.D.S.
• Nancy J Zidek, M.D.

• Nurse Practitioner in Holton, KS
• Providers in Holton, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.
• 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.

Verify at the official NPI Registry.