MRS. MELISSA ZIMMERMAN
NPI 1689005332
Nurse Practitioner in Helena, MT

Active since December 05, 2013PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
2550 E BROADWAY ST, HELENA, MT 59601(406) 457-4180 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2018, Aug 7, 2017, Nov 30, 2015 (3 updates tracked since 2015).

About Mrs. Melissa Zimmerman NPPES

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

MRS. MELISSA ZIMMERMAN (NPI 1689005332) is an individual nurse practitioner in Helena, Montana, licensed in Montana (100707) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689005332
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MELISSA ZIMMERMAN
Location Address2550 E BROADWAY STHelena, MT 59601-4905
Mailing AddressPo Box 6369Helena, MT 59604-6369 · (406) 447-2823
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 5, 2013
Last NPPES UpdateMarch 28, 20183 updates tracked since enumeration
NPI 1689005332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MT · 100707 Licensed in MT · 33155
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2550 E BROADWAY ST, Helena, MT 59601

Other Names 1

Former Name (1)Melissa Bentley

Other Identifiers 1

Other100707MT · Montana State License

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

Mrs. Melissa Zimmerman 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 ID5496064735
PECOS Enrollment IDI20151027002503
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 3

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.
115 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
70 services70 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.
48 services46 patients

Hospital Affiliations CMS Care Compare

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

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
2 suppliers28 claims31 services$115.50 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.

Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Pharmacist
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Internal Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Allergy & Immunology (Allergy)
2550 E BROADWAY ST
HELENA, MT 59601

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 Melissa Zimmerman's NPI number?

The NPI number for Melissa Zimmerman is 1689005332. It was assigned to this individual provider in the NPPES registry on December 5, 2013. The provider is also known as Melissa Bentley.

Where is Melissa Zimmerman located?

Melissa Zimmerman practices at 2550 E Broadway St, Helena, MT 59601. The listed phone number is (406) 457-4180.

What is Melissa Zimmerman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Zimmerman enrolled in Medicare?

Yes. Melissa 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 Melissa Zimmerman accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Melissa 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 Melissa Zimmerman affiliated with any hospitals?

According to CMS data, Melissa Zimmerman is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Melissa Zimmerman was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.