Individual provider Active NPI

Heather Rae Zimmel, AUDIOLOGIST

  • Audiologist-Hearing Aid Fitter
  • Cass Lake, MN
National Provider Identifier
1962645440
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
8356 Issued in MN
Practice address
425 7TH St NW
Cass Lake, MN 56633-3360
Phone
(218) 335-3200
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 8356 MN
Audiologist-Hearing Aid Fitter 237600000X 8356 MN Primary

Addresses

Primary practice location

425 7TH St NW
Cass Lake, MN 56633-3360

Mailing address

677 Anne St NW
Bemidji, MN 56601-4390
Phone (213) 333-8833

Other practice location 1

40520 County Highway 34
Ogema, MN 56569-9612
Phone (218) 983-4300

Other practice location 2

24760 Hospital Drive
Red Lake, MN 56671
Phone (218) 679-3912

Other names 1

  • Heather Rae Darco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090702000574 MN Practitioner - Qualified Audiologist 8325199326 Reassigns benefits to 1 organization
I20190628001891 TX Practitioner - Qualified Audiologist 8325199326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Wellness CenterGroup PAC ID 8820248370, 5 clinicians

Practice addresses (Care Compare)

1525 London Rd
Duluth, MN 55812-1617
Phone (218) 623-1045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8356MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Indian Hospital CurrentSince Jun 4, 2019 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince May 28, 2019 Accepting new patients
White Earth Indian Health Center CurrentSince May 28, 2019 Accepting new patients
Pine Point Health Station Current Accepting new patients
Naytahwaush Health Center CurrentSince May 28, 2019 Accepting new patients
Core Health & Nutrition LLC Past Accepting new patients

Locations

350 E Devon Ave
Itasca, IL 60143

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1962645440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014390",
            "telephone_number": "213-333-8833",
            "fax_number": "218-333-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 7TH ST NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40520 County Highway 34",
            "address_purpose": "LOCATION",
            "city": "Ogema",
            "state": "MN",
            "postal_code": "565699612",
            "country_code": "US",
            "telephone_number": "218-983-4300",
            "fax_number": "218-983-6217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24760 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Red Lake",
            "state": "MN",
            "postal_code": "56671",
            "country_code": "US",
            "telephone_number": "218-679-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMEL",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "8356",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "8356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DARCO",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cass Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.