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CLARE ELIZABETH ZIMMERMAN APRN, FNP-C
NPI 1679270060
Family Medicine - Hospice and Palliative Medicine in Sheboygan Falls, WI

Active since February 15, 2023PECOS EnrolledAccepts Medicare Assignment
W2850 STATE ROAD 28, SHEBOYGAN FALLS, WI 53085(920) 467-1800(920) 467-1900 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2026, Feb 15, 2023 (2 updates tracked since 2023).

About Clare Elizabeth Zimmerman Aprn, Fnp-c NPPES

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

CLARE ELIZABETH ZIMMERMAN APRN, FNP-C (NPI 1679270060) is an individual hospice and palliative medicine provider in Sheboygan Falls, Wisconsin, licensed in Wisconsin (13608-33) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679270060
Entity TypeIndividualFemale
Primary Taxonomy207QH0002X
Provider Legal NameCLARE ELIZABETH ZIMMERMANCredential: APRN, FNP-C
Location AddressW2850 STATE ROAD 28Sheboygan Falls, WI 53085-2702
Mailing AddressW2850 State Road 28Sheboygan Falls, WI 53085-2702 · (920) 467-1800 · Fax (920) 467-1900
Phone(920) 467-1800
Fax(920) 467-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 15, 2023
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1679270060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in WI · 13608-33
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 13608-33 (WI)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 13608 (WI)
W2850 STATE ROAD 28, Sheboygan Falls, WI 53085
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Other Identifiers 1

Medicaid100230891WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.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

Clare Elizabeth Zimmerman Aprn, Fnp-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 ID2163896986
PECOS Enrollment IDI20230317002370
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 5

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.
130 services121 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services117 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services25 patients
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
Albuterol and ipratropium bromide are medications used to help you breathe more easily. They work by relaxing your airways and increasing airflow to your lungs. These FDA-approved drugs are administered through a device called DME (Durable Medical Equipment) which ensures accurate dosage.
13 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53085 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 3

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

DR. SCOTT A PAXTON D.O.
Family Medicine (Hospice and Palliative Medicine)
W2850 STATE ROAD 28
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 467-1800
SHANA L WAGNER MSN, FNP-BC
Nurse Practitioner (Family)
W2850 STATE ROAD 28
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 467-1800
JENNIFER ANN DAGGETT APNP
Family Medicine (Hospice and Palliative Medicine)
W2850 STATE ROAD 28
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 467-1800

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 Clare Zimmerman's NPI number?

The NPI number for Clare Zimmerman is 1679270060. It was assigned to this individual provider in the NPPES registry on February 15, 2023.

Where is Clare Zimmerman located?

Clare Zimmerman practices at W2850 State Road 28, Sheboygan Falls, WI 53085. The listed phone number is (920) 467-1800.

What is Clare Zimmerman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Clare Zimmerman enrolled in Medicare?

Yes. Clare Zimmerman 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 Clare Zimmerman accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and UnitedHealthcare list Clare Zimmerman 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 Clare Zimmerman affiliated with any hospitals?

According to CMS data, Clare Zimmerman is affiliated with St Nicholas Hospital and Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Clare Zimmerman was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.