Individual provider Active NPI

Amy Zipperer, NP-C

  • Primary Care Nurse Practitioner
  • Lubec, ME
National Provider Identifier
1861166985
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP211106 Issued in ME
Practice address
43 S Lubec Rd
Lubec, ME 04652-3620
Phone
(207) 733-1090
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X CNP211106 ME
Primary Care Nurse Practitioner 363LP2300X CNP211106 ME Primary

Addresses

Primary practice location

43 S Lubec Rd
Lubec, ME 04652-3620

Mailing address

1580 Northfield Rd
Northfield, ME 04654-6036
Phone (207) 255-3878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20211104002861 ME Practitioner - Nurse Practitioner 4284023698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Center at Lubec Inc CurrentSince Aug 25, 2021 Accepting new patients
Regional Medical Center at Lubec CurrentSince Aug 25, 2021 Accepting new patients

Locations

893 Main St
East Machias, ME 04630
Phone (207) 255-0102

43 S Lubec Rd
Lubec, ME 04652
Phone (207) 733-1090

Organizations & group practices 2

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1861166985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 NORTHFIELD RD",
            "city": "NORTHFIELD",
            "state": "ME",
            "postal_code": "046546036",
            "telephone_number": "207-255-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 S LUBEC RD",
            "city": "LUBEC",
            "state": "ME",
            "postal_code": "046523620",
            "telephone_number": "207-733-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPPERER",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ME",
            "license": "CNP211106",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP211106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubec, ME

Sources for this page

Verify at the official NPI Registry.