Individual provider Active NPI

Brittany L Zimmerman, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1831361401
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108037 Issued in FL
Practice address
600 Heritage Dr Ste 101
Jupiter, FL 33458-3098
Phone
(561) 296-5222
Fax
(561) 296-5221
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2246-23 WI
Physician Assistant 363A00000X PA9108037 FL Primary

Addresses

Primary practice location

600 Heritage Dr Ste 101
Jupiter, FL 33458-3098

Mailing address

7761 Preserve Dr
West Palm Beach, FL 33412-2428
Phone (608) 290-8244

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929002990 FL Practitioner - Physician Assistant 2062581853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis DermatologyGroup PAC ID 8527035146, 3 clinicians

Practice addresses (Care Compare)

600 Heritage Dr
Suite 101
Jupiter, FL 33458-3098
Phone (561) 296-5222

Merit-based Incentive Payment System (MIPS)

Final score
96.99 of 100Reported as group
Quality
93.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2246-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group CurrentSince Jan 9, 2017 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Jan 9, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJEICA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1831361401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7761 PRESERVE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334122428",
            "telephone_number": "608-290-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR STE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583098",
            "telephone_number": "561-296-5222",
            "fax_number": "561-296-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "BRITTANY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2246-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.