MRS. SAMANTHA JO ZIMMERMAN APRN
NPI 1720633019
Nurse Practitioner - Family in Emporia, KS

Q: What is Samantha Zimmerman's NPI number?

The NPI number for Samantha Zimmerman is 1720633019. It was assigned to this individual provider in the NPPES registry on August 5, 2019. The provider is also known as Miss Samantha Jo Bumgardner.

Q: What is Samantha Zimmerman's specialty?

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

Active since August 05, 2019PECOS Enrolled

420 W 15TH AVE, EMPORIA, KS 66801(620) 342-4864 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Samantha Jo Zimmerman Aprn NPPES

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

MRS. SAMANTHA JO ZIMMERMAN APRN (NPI 1720633019) is an individual family provider in Emporia, Kansas, licensed in Kansas (53-78824-041) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720633019

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SAMANTHA JO ZIMMERMANCredential: APRN

Location Address420 W 15TH AVEEmporia, KS 66801-5367

Mailing Address317 S 4th StBurlington, KS 66839-1913 · (620) 583-2677

Phone(620) 342-4864

Sole ProprietorNo

Enumeration DateAugust 5, 2019

✔ NPI 1720633019 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 KS · 53-78824-041

420 W 15TH AVE, Emporia, KS 66801

Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Samantha Jo Bumgardner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Samantha Jo Zimmerman Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Samantha Zimmerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Newman Memorial County Hospital

0.6 mi

Critical Access

1201 W 12TH AVE
Emporia, KS 66801

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1922306729 (Kansas)
126 clinicians in this Medicare group

NPI 1245643576 (620) 343-6800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66801 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier11 claims18 services$1.10 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.

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