Richard Zimmerman, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71007050A Issued in IN

Practice address

118 W Drexel Pkwy
Rensselaer, IN 47978-7344

Phone

(219) 866-4300

Fax

(219) 866-7591

NPI assigned

Feb 7, 2017

Last updated

Nov 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana Medical College, School of Medicine of Purdue University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Valparaiso, IN, CCN 157095
• Clinical Home Health Care Home health agency, Demotte, IN, CCN 157240
• Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324
• Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Franciscan Physician Network

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225327984
  Medicare reassignment Care Compare group NPD
• Franciscan Physician Network

  • Clinic/Center
  • Lafayette, IN
  • NPI 1992543250
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clinical Management Services, Inc.

  • Home Health Agency
  • Demotte, IN
  • NPI 1306898390
  Care Compare affiliation
• Franciscan Health Lafayette

  dba Franciscan St. Elizabeth Health

  • General Acute Care Hospital
  • Lafayette, IN
  • NPI 1356435341
  Care Compare affiliation
• Franciscan Health Rensselaer, Inc.

  dba Franciscan Healthcare Rensselaer

  • Critical Access Hospital
  • Rensselaer, IN
  • NPI 1932589173
  Care Compare affiliation
• GLC Home Health Nin LLC

  dba Elara Caring

  • Home Health Agency
  • Valparaiso, IN
  • NPI 1013493493
  Care Compare affiliation

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1952849218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W DREXEL PKWY",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479787344",
            "telephone_number": "219-866-4300",
            "fax_number": "219-866-7591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Almond St NW",
            "address_purpose": "LOCATION",
            "city": "Demotte",
            "state": "IN",
            "postal_code": "463109547",
            "country_code": "US",
            "telephone_number": "219-208-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "RICHARD",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041-452409",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007050A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Ann Williamson, OTR
• Erin Aleece Williamson, OTR
• Ashton Wireman
• Stephen William Wolfe, M.D.
• Amanda Zea

• Family Nurse Practitioner in Rensselaer, IN
• Providers in Rensselaer, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.