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JAY KYLE ZIMMERMAN CRNP
NPI 1881107225
Nurse Practitioner - Family in Lancaster, PA

Active since November 08, 2017PECOS EnrolledAccepts Medicare Assignment
231 GRANITE RUN DR, LANCASTER, PA 17601(717) 560-4200(717) 560-4159 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2021, Nov 8, 2017 (2 updates tracked since 2017).

About Jay Kyle Zimmerman Crnp NPPES

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

JAY KYLE ZIMMERMAN CRNP (NPI 1881107225) is an individual family provider in Lancaster, Pennsylvania, licensed in New York (346885) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1881107225
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAY KYLE ZIMMERMANCredential: CRNP
Location Address231 GRANITE RUN DRLancaster, PA 17601-6823
Mailing Address1021 Broadway StBuffalo, NY 14212-1460 · (716) 529-3020 · Fax (716) 529-3040
Phone(717) 560-4200
Fax(717) 560-4159
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 8, 2017
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1881107225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 346885
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP018058 (PA)
231 GRANITE RUN DR, Lancaster, PA 17601
Open in Google Maps ↗

Secondary Practice Location 1

Location 11021 Broadway StBuffalo, NY 14212-1460

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

Jay Kyle Zimmerman Crnp 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 ID6305106246
PECOS Enrollment IDI20210127000261
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 Jay Zimmerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jericho Road Ministries, Inc.
234 mi
Federally Qualified Health Center (FQHC)
1021 BROADWAY ST
Buffalo, NY 14212
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
NPI 1952893091 (716) 529-3020

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 17601 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

ADRIENNE LAUREN CARNAHAN PA-C
Physician Assistant
231 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 560-4200
DR. COREY RICHARD TROXELL D.O.
Orthopaedic Surgery
231 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 560-4200
JULIE E. ADAMS PA-C
Physician Assistant
231 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 560-4200
DR. YOUNG MIN JEE M.D.
Orthopaedic Surgery
231 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 560-4200
DR. MICHAEL PAUL ST. ONGE D.O.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
231 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 560-4200
DEREK C LONGENECKER DPT
Physical Therapist
231 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 560-4200
MRS. MELISSA ANN MOORE P.T.
Physical Therapist
231 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 560-4200
MRS. ANNA OCONNOR P.T.
Physical Therapist
231 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 735-3600

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 Jay Zimmerman's NPI number?

The NPI number for Jay Zimmerman is 1881107225. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Jay Zimmerman located?

Jay Zimmerman practices at 231 Granite Run Dr, Lancaster, PA 17601. The listed phone number is (717) 560-4200.

What is Jay Zimmerman's specialty?

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

Is Jay Zimmerman enrolled in Medicare?

Yes. Jay 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.

Which organization bills Medicare for Jay Zimmerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Zimmerman reassigns Medicare benefits to Jericho Road Ministries, Inc. (Buffalo, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Zimmerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jay Zimmerman was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.