DAWN ZIEGELMAIER NP-C
NPI 1477168979
Nurse Practitioner - Family in Goshen, IN

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
330 LAKEVIEW DR, GOSHEN, IN 46528(574) 537-2680 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dawn Ziegelmaier Np-c NPPES

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

DAWN ZIEGELMAIER NP-C (NPI 1477168979) is an individual family provider in Goshen, Indiana, licensed in Indiana (28143653A) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477168979
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWN ZIEGELMAIERCredential: NP-C
Location Address330 LAKEVIEW DRGoshen, IN 46528-9365
Mailing Address1727 Victoria DrElkhart, IN 46514-4139 · (574) 360-7744
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
NPI 1477168979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 28143653A
330 LAKEVIEW DR, Goshen, IN 46528

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

Dawn Ziegelmaier Np-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 ID3375953797
PECOS Enrollment IDI20201112003244
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.

Areas of Expertise CMS Part B claims 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
438 services175 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
365 services152 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
146 services68 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
91 services89 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
80 services53 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46528 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.

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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%48 patients
Breast Cancer Screening
44%34 patients2/55-star benchmark: 93%
Cervical Cancer Screening
31%245 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
13%216 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
12%102 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
54%90 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
2%54 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%54 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,343 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%496 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
2%315 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%884 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 459 patients
0%459 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
62%58 patients2/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$6.11 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.

Counselor
330 LAKEVIEW DR
GOSHEN, IN 46528
Pharmacy
330 LAKEVIEW DR
GOSHEN, IN 46528
Counselor
330 LAKEVIEW DR
GOSHEN, IN 46528
Nurse Practitioner (Family)
330 LAKEVIEW DR
GOSHEN, IN 46528
Social Worker (Clinical)
330 LAKEVIEW DR
GOSHEN, IN 46528
Counselor (Mental Health)
330 LAKEVIEW DR
GOSHEN, IN 46528
Social Worker
330 LAKEVIEW DR
GOSHEN, IN 46528
Counselor
330 LAKEVIEW DR
GOSHEN, IN 46528

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 Dawn Ziegelmaier's NPI number?

The NPI number for Dawn Ziegelmaier is 1477168979. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Dawn Ziegelmaier located?

Dawn Ziegelmaier practices at 330 Lakeview Dr, Goshen, IN 46528. The listed phone number is (574) 537-2680.

What is Dawn Ziegelmaier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dawn Ziegelmaier enrolled in Medicare?

Yes. Dawn Ziegelmaier 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 Dawn Ziegelmaier accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Dawn Ziegelmaier 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.

When was this NPI record last updated?

The NPPES record for Dawn Ziegelmaier was last updated on September 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.