DR. STACY C ZIMMERMAN M.D.
NPI 1467488791
Internal Medicine in Fayetteville, AR

Q: What is Stacy Zimmerman's NPI number?

The NPI number for Stacy Zimmerman is 1467488791. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Stacy Zimmerman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Zimmerman was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment

1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 713-8701(479) 713-8719 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2023, Nov 29, 2017 (2 updates tracked since 2017).

On this page

About Dr. Stacy C Zimmerman M.d. NPPES

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

DR. STACY C ZIMMERMAN M.D. (NPI 1467488791) is an individual internal medicine provider in Fayetteville, Arkansas, licensed in Arkansas (E-3258) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arkansas College Of Medicine (1999).

NPPES Registry Identity

NPI1467488791

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. STACY C ZIMMERMANCredential: M.D.

Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908

Mailing AddressPo Box 251420Little Rock, AR 72225-1420 · (501) 686-8000 · Fax (501) 526-5148

Phone(479) 713-8701

Fax(479) 713-8719

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1999

Enumeration DateJune 26, 2006

Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2023

✔ NPI 1467488791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AR · E-3258

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1125 N COLLEGE AVE, Fayetteville, AR 72703

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Secondary Practice Locations 2

Location 13214 E Race AveSearcy, AR 72143-4810 · Phone (501) 268-6121

Location 2175 Volunteer ParkwayClinton, AR 72031 · Phone (501) 745-3033 · Fax (501) 745-8099

Other Identifiers 4

Other03090020200AR · Qualchoice

Medicaid149638001AR

OtherE3258AR · State License

Other770272601AR · Breastcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stacy C Zimmerman M.d. 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 ID1759349723

PECOS Enrollment IDI20100810000593

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.

Medicare Billing Reassignments

Medicare enrollment records show Stacy Zimmerman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Arkansas For Medical Sciences

Same address

Family Medicine

1125 N COLLEGE AVE
Fayetteville, AR 72703

Reassigned Medicare billing, Arkansas enrollment
Also billed through NPI 1720217599 (Arkansas), NPI 1487624490 (Arkansas)
31 clinicians in this Medicare group

NPI 1457320780 (479) 521-8260

Washington Regional Medical System

2.2 mi

Family Medicine

3053 N COLLEGE AVENUE
Fayetteville, AR 72703

Reassigned Medicare billing, Arkansas enrollment
18 clinicians in this Medicare group

NPI 1114971819 (479) 463-2000

White County Medical Center

149 mi

Multi-Specialty

2900 HAWKINS DR
Searcy, AR 72143

Reassigned Medicare billing, Arkansas enrollment
72 clinicians in this Medicare group

NPI 1962784835 (501) 278-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$19.35 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$105.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

GRACE WOOD

Student in an Organized Health Care Education/Training Program