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

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: August 23, 2026.

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
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

Other Names 1

Former Name (1)Miss Samantha Jo Bumgardner

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Social Worker (Clinical)
420 W 15TH AVE
EMPORIA, KS 66801
Pharmacist
420 W 15TH AVE
EMPORIA, KS 66801
Dentist (Dental Public Health)
420 W 15TH AVE
EMPORIA, KS 66801
Nurse Practitioner (Family)
420 W 15TH AVE
EMPORIA, KS 66801
Dentist
420 W 15TH AVE
EMPORIA, KS 66801
Social Worker
420 W 15TH AVE
EMPORIA, KS 66801
Family Medicine
420 W 15TH AVE
EMPORIA, KS 66801
Pharmacy (Community/Retail Pharmacy)
420 W 15TH AVE
EMPORIA, KS 66801

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 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.

Where is Samantha Zimmerman located?

Samantha Zimmerman practices at 420 W 15th Ave, Emporia, KS 66801. The listed phone number is (620) 342-4864.

What is Samantha Zimmerman's specialty?

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

Is Samantha Zimmerman enrolled in Medicare?

Yes. Samantha Zimmerman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Zimmerman was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.