Individual provider Active NPI

Neil Jerome Zimmer, DC

  • Chiropractor
  • Kasson, MN
National Provider Identifier
1912918822
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4272 Issued in MN
Practice address
15 E Veterans Memorial Hwy
Kasson, MN 55944-1201
Phone
(507) 634-6677
Fax
(507) 634-6688
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4272 MN Primary

Addresses

Primary practice location

15 E Veterans Memorial Hwy
Kasson, MN 55944-1201

Mailing address

15 E Veterans Memorial Hwy
Kasson, MN 55944-1201
Phone (507) 634-6677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000876 MN Practitioner - Chiropractic 4789647249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 E Veterans Memorial Hwy
Kasson, MN 55944-1201
Phone (507) 634-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4272MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knewtson Family Chiropractic PA Chiropractor CurrentSince Feb 17, 2020 Accepting new patients
Zimmer Chiropractic PA Chiropractor CurrentSince Nov 22, 2002 Accepting new patients

Locations

15 E Veterans Memorial Hwy
Kasson, MN 55944
Phone (507) 634-6677

23505 Smithtown Rd
Shorewood, MN 55331
Phone (952) 470-8555

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912918822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E VETERANS MEMORIAL HWY",
            "city": "KASSON",
            "state": "MN",
            "postal_code": "559441201",
            "telephone_number": "507-634-6677",
            "fax_number": "507-634-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E VETERANS MEMORIAL HWY",
            "city": "KASSON",
            "state": "MN",
            "postal_code": "559441201",
            "telephone_number": "507-634-6677",
            "fax_number": "507-634-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "NEIL",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kasson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.