KAYLIE D'ANN ZIMMERMAN APRN-MSN
NPI 1790207207
Nurse Practitioner in Holton, KS

Q: What is Kaylie Zimmerman's NPI number?

The NPI number for Kaylie Zimmerman is 1790207207. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Q: What is Kaylie Zimmerman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaylie Zimmerman was last updated on March 19, 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.

Active since July 17, 2017PECOS EnrolledAccepts Medicare Assignment

1110 COLUMBINE DRIVE, HOLTON, KS 66436(785) 364-2116(785) 364-9613 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2026, Jun 23, 2021, Jul 17, 2017 (3 updates tracked since 2017).

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About Kaylie D'ann Zimmerman Aprn-msn NPPES

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

KAYLIE D'ANN ZIMMERMAN APRN-MSN (NPI 1790207207) is an individual nurse practitioner in Holton, Kansas, licensed in Kansas (53-77746) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Holton Community Hospital, and maintains a secondary practice location in Hiawatha.

NPPES Registry Identity

NPI1790207207

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKAYLIE D'ANN ZIMMERMANCredential: APRN-MSN

Location Address1110 COLUMBINE DRIVEHolton, KS 66436-8824

Mailing Address1110 Columbine DriveHolton, KS 66436-8824 · (785) 364-2116 · Fax (785) 364-9613

Phone(785) 364-2116

Fax(785) 364-9613

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 17, 2017

Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1790207207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KS · 53-77746✔ Licensed in KS · 77746

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 53-77746 (KS)

1110 COLUMBINE DRIVE, Holton, KS 66436

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Secondary Practice Location 1

Location 1300 Utah StHiawatha, KS 66434-2326 · Phone (785) 742-2131 · Fax (785) 742-6558

Other Identifiers 4

Other004030048Ptan

Medicaid30003913850001KS

Medicaid420167256MO

Medicaid10030260000NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaylie D'ann Zimmerman Aprn-msn 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 ID5395004485

PECOS Enrollment IDI20180118000155

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 Reassignments

Medicare enrollment records show Kaylie Zimmerman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health Resources Of Jackson Co Inc

Same address

Multi-Specialty

1110 COLUMBINE DR
Holton, KS 66436

Reassigned Medicare billing, Kansas enrollment
53 clinicians in this Medicare group

NPI 1235238296 (785) 634-2116

Community Healthcare System, Inc

23 mi

Critical Access

120 W 8TH ST
Onaga, KS 66521

Reassigned Medicare billing, Kansas enrollment
31 clinicians in this Medicare group

NPI 1457351389 (785) 889-4274

Hiawatha Hospital Association Inc

28 mi

Rural Health

300 UTAH ST STE 200
Hiawatha, KS 66434

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1255421210 (Kansas)
76 clinicians in this Medicare group

NPI 1023175064 (785) 742-2161

Minor Med PA

30 mi

Clinic/Center

1119 SW GAGE BLVD
Topeka, KS 66604

Reassigned Medicare billing, Kansas enrollment
16 clinicians in this Medicare group

NPI 1093827511 (785) 272-4000

Ellsworth County Medical Center

142 mi

Critical Access

1604 AYLWARD
Ellsworth, KS 67439

Reassigned Medicare billing, Kansas enrollment
27 clinicians in this Medicare group

NPI 1083614028 (785) 472-3111

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

Hospital Affiliations CMS Care Compare 4

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

Holton Community Hospital

Critical Access Hospitals · Holton, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171319

Location1110 Columbine DriveHolton, KS 66436 · Jackson County

Emergency services

Ellsworth County Medical Center

Critical Access Hospitals · Ellsworth, KS

OwnershipProprietary

CMS Certification Number171327

Location1604 Aylward AvenueEllsworth, KS 67439 · Ellsworth County

Emergency services

Hiawatha Community Hospital

Critical Access Hospitals · Hiawatha, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number171341

Location300 Utah StreetHiawatha, KS 66434 · Brown County

Emergency services Birthing friendly

Community Hospital, Onaga And St Marys Campus

Critical Access Hospitals · Onaga, KS

OwnershipGovernment - Hospital District or Authority

CMS Certification Number171354

Location120 West 8th StreetOnaga, KS 66521 · Pottawatomie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66436 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.

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

Breast Cancer Screening

70%64 patients4/55-star benchmark: 93%

Cervical Cancer Screening

33%112 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

44%111 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

58%130 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

50%84 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

15%27 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

37%27 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

55%938 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

58%91 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

28%326 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

33%268 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

12%636 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 89% · 271 patients

Patients screened: 99% · 271 patients

56%62 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

71%63 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 89 patients

Patients totalRate: 19% · 96 patients

18%96 patients3/55-star benchmark: 100%

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 2

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims303 services$3.31 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims5,510 services$0.33 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 5

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

DR. GARY LEE PETRY MD

Family Medicine