Individual provider Active NPI

Sidney Zimmerman, APRN

  • Family Nurse Practitioner
  • Fort Scott, KS
National Provider Identifier
1992494330
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023024693 Issued in MO
Practice address
4 S Main St
Fort Scott, KS 66701-1413
Phone
(620) 498-5124
NPI assigned
May 2, 2023
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023024693 MO Primary
Family Nurse Practitioner 363LF0000X TMP-161800 KS
Registered Nurse 163W00000X 13-138518021 KS

Addresses

Primary practice location

4 S Main St
Fort Scott, KS 66701-1413

Mailing address

4 S Main St
Fort Scott, KS 66701-1413

Other practice location 1

41800 W 11 Mile Rd
Novi, MI 48375-1872
Phone (248) 660-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230711004267 MO Practitioner - Nurse Practitioner 2961861745 Reassigns benefits to 3 organizations
I20230719003909 KS Practitioner - Nurse Practitioner 2961861745 Reassigns benefits to 3 organizations
I20260416000281 NH Practitioner - Nurse Practitioner 2961861745

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Practice addresses (Care Compare)

605 E Melvin St
Arma, KS 66712-4100
Phone (620) 347-4103

800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772-3224

9191 N Ambassador Dr
Tiffany Springs Rehabilitation
Kansas City, MO 64154-7247
Phone (816) 741-5570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.89 of 100Reported as group
Quality
50.25
Promoting interoperability
90
Improvement activities
40
Cost
81.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13-138518021KSMDRegistered Nurse
TMP-161800KSMDFamily Nurse Practitioner
2023024693MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Kansas H LLC CurrentSince Dec 30, 2025 Accepting new patients
Theoria Medical CurrentSince Jun 2, 2024 Accepting new patients
Signify Health, LLC CurrentSince Jul 23, 2023 Accepting new patients
Nevada City Hospital CurrentSince Jul 31, 2023 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jul 1, 2023 Accepting new patients
Nevada City Hospital CurrentSince Jul 31, 2023 Accepting new patients
Nevada City Hospital PastSince Mar 20, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC Past Accepting new patients

Locations

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

1220 E 8th St
Galena, KS 66739
Phone (620) 679-0234

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1992494330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667011413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667011413",
            "telephone_number": "620-498-5124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41800 W 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751872",
            "country_code": "US",
            "telephone_number": "248-660-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SIDNEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023024693",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP-161800",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-138518021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Scott, KS

Sources for this page

Verify at the official NPI Registry.