Joanne Marie Zimmerly, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209003500 Issued in IL

Practice address

2355 S Western Ave
Chicago, IL 60608-3837

Phone

(773) 254-1400

Fax

(773) 650-1218

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alivio Medical Center, Inc.Group PAC ID 5698840924, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

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.

• Alivio Medical Center, Inc.

  dba Alivio Medical Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1073617387
  Medicare reassignment Care Compare group NPD
• Alivio Medical Center, Inc.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1083860845
  NPD
• Alivio Medical Center, Inc.

  dba Alivio Medical Center Dental at Westlawn

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1831770825
  NPD
• Alivio Medical Center, Inc.

  dba Alivio Medical Center Cicero

  • Family Medicine Physician
  • Cicero, IL
  • NPI 1124274311
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1811057094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083837",
            "telephone_number": "773-254-1400",
            "fax_number": "773-650-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083837",
            "telephone_number": "773-254-1400",
            "fax_number": "773-650-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERLY",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209003500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Mae Ziltz, M.S. CCC-SLP
• Shari M Zimelman, PT
• Anthony Zimmer, ATC
• Khamillah Zimmer
• Nancy Elizabeth Zimmer, PAC
• Barbara Ann Zimmerman Minnich, C.N.M.
• Arielle Zimmerman
• Ashley Zimmerman, OD
• Bree Zimmerman, M.D.
• Brenna Marie Zimmerman, LPC

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.