NPIMap

Organization Active NPI

Zimmerman Group, LLC

Doing business as Pacific Northwest Audiology

  • Audiologist
  • Bend, OR
National Provider Identifier
1790441889
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ZIMMERMAN GROUP, LLC
Doing business as
Pacific Northwest Audiology
Practice address
2205 NW Shevlin Park Rd
Bend, OR 97703-7195
Phone
(541) 678-5698
NPI assigned
Nov 12, 2021
Last updated
Nov 12, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
186598091As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Melisa Zimmerman, PHD
Title
President
Phone
(541) 678-5698

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

2205 NW Shevlin Park Rd
Bend, OR 97703-7195

Mailing address

20339 Hillview Rd
Saegertown, PA 16433-3947
Phone (814) 450-8454

Other names 1

  • Pacific Northwest Audiology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zimmerman@amplifygrp.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220119000676 OR Part B Supplier - Clinic/Group Practice 1153713466 Receives reassigned benefits from 3 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory
Part of
Zimmerman Group LLC

Locations

2205 NW Shevlin Park Rd
Bend, OR 97703
Phone (541) 678-5698

2055 NW Shevlin Park Rd
Bend, OR 97703

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1790441889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20339 HILLVIEW RD",
            "city": "SAEGERTOWN",
            "state": "PA",
            "postal_code": "164333947",
            "telephone_number": "814-450-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 NW SHEVLIN PARK RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037195",
            "telephone_number": "541-678-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMERMAN GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "186598091",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "MELISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-678-5698",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zimmerman@amplifygrp.com",
            "affiliation": "N",
            "address_1": "2205 NW Shevlin Park Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977037195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pacific Northwest Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.