MS. KRISTEN ZIMMER P.A.-C.
NPI 1275883225
Physician Assistant in Southgate, MI

Active since September 18, 2012PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
13636 DIX TOLEDO RD, SOUTHGATE, MI 48195(734) 283-2262(734) 283-8121 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2021, Dec 21, 2018 (2 updates tracked since 2018).

About Ms. Kristen Zimmer P.a.-c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KRISTEN ZIMMER P.A.-C. (NPI 1275883225) is an individual physician assistant in Southgate, Michigan, licensed in Michigan (5601006393) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275883225
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KRISTEN ZIMMERCredential: P.A.-C.
Location Address13636 DIX TOLEDO RDSouthgate, MI 48195-2432
Mailing Address13636 Dix Toledo RdSouthgate, MI 48195-2432 · (734) 283-2262 · Fax (734) 283-8121
Fax(734) 283-8121
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 18, 2012
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1275883225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006393
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13636 DIX TOLEDO RD, Southgate, MI 48195

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kristen Zimmer P.a.-c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577712496
PECOS Enrollment IDI20121009000179
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
13636 DIX TOLEDO RD
SOUTHGATE, MI 48195
Physician Assistant
13636 DIX TOLEDO RD
SOUTHGATE, MI 48195
Family Medicine
13636 DIX TOLEDO RD
SOUTHGATE, MI 48195
Chiropractor
13636 DIX TOLEDO RD
SOUTHGATE, MI 48195
Pharmacy (Community/Retail Pharmacy)
13636 DIX TOLEDO RD
SOUTHGATE, MI 48195
Pharmacist
13636 DIX TOLEDO RD
SOUTHGATE, MI 48195
Clinic/Center (Health Service)
13636 DIX TOLEDO RD, SUITE B
SOUTHGATE, MI 48195
Chiropractor
13636 DIX TOLEDO RD
SOUTHGATE, MI 48195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Zimmer's NPI number?

The NPI number for Kristen Zimmer is 1275883225. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Kristen Zimmer located?

Kristen Zimmer practices at 13636 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (734) 283-2262.

What is Kristen Zimmer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristen Zimmer enrolled in Medicare?

Yes. Kristen Zimmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristen Zimmer accept?

Health plans from McLaren Health Plan Community and Priority Health list Kristen Zimmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristen Zimmer affiliated with any hospitals?

According to CMS data, Kristen Zimmer is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Kristen Zimmer was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.