LORI JILL ZIMMERMAN D.O.
NPI 1457395006
Family Medicine in North Manchester, IN

Active since June 15, 2006Opted out of Medicare · through Apr 1, 2028
605 N WALNUT STREET, NORTH MANCHESTER, IN 46962(260) 982-1994 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lori Jill Zimmerman D.o. NPPES

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

LORI JILL ZIMMERMAN D.O. (NPI 1457395006) is an individual family medicine provider in North Manchester, Indiana, licensed in Indiana (02002097A) and active in the NPI registry since June 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1457395006
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLORI JILL ZIMMERMANCredential: D.O.
Location Address605 N WALNUT STREETNorth Manchester, IN 46962
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3513 · Fax (260) 479-3520
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
NPI 1457395006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 02002097A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

605 N WALNUT STREET, North Manchester, IN 46962

Other Identifiers 1

Medicaid200238120IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lori Jill Zimmerman D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46962 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lori Zimmerman's NPI number?

The NPI number for Lori Zimmerman is 1457395006. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Lori Zimmerman located?

Lori Zimmerman practices at 605 N Walnut Street, North Manchester, IN 46962. The listed phone number is (260) 982-1994.

What is Lori Zimmerman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lori Zimmerman enrolled in Medicare?

No. Lori Zimmerman has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lori Zimmerman was last updated on October 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.