RACHEL LEE ZIMMERMAN CRNP
NPI 1881329688
Nurse Practitioner - Critical Care Medicine in Altoona, PA

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment
95.53/100
CMS Quality Rating
620 HOWARD AVE, ALTOONA, PA 16601(814) 889-2011 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rachel Lee Zimmerman Crnp NPPES

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

RACHEL LEE ZIMMERMAN CRNP (NPI 1881329688) is an individual critical care medicine provider in Altoona, Pennsylvania, licensed in Pennsylvania (SP025935) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881329688
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameRACHEL LEE ZIMMERMANCredential: CRNP
Location Address620 HOWARD AVEAltoona, PA 16601-4804
Mailing Address19664 Rockland DrSaxton, PA 16678-7622 · (814) 515-5012
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 18, 2022
NPPES CertifiedJune 12, 2022
✔ NPI 1881329688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in PA · SP025935
620 HOWARD AVE, Altoona, PA 16601

Accepted 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

Rachel Lee 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 ID7911389481
PECOS Enrollment IDI20220729002722, I20260317001602
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

3

Medicare enrollment records show Rachel Zimmerman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
620 HOWARD AVE
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 17 clinicians in this Medicare group
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Obstetrics & Gynecology
200 MEDICAL PARK DR, STE 250
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group

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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services39 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
21 services20 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
20 services14 patients

Hospital Affiliations CMS Care Compare

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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.

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.

95.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.93
Improvement Activities40

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.

Physician Assistant (Medical)
620 HOWARD AVE
ALTOONA, PA 16601
Nurse Anesthetist, Certified Registered
620 HOWARD AVE
ALTOONA, PA 16601
Physician Assistant (Medical)
620 HOWARD AVE
ALTOONA, PA 16601
Nurse Anesthetist, Certified Registered
620 HOWARD AVE
ALTOONA, PA 16601
Dietitian, Registered
620 HOWARD AVE
ALTOONA, PA 16601
Physician Assistant
620 HOWARD AVE
ALTOONA, PA 16601
Psychiatry & Neurology (Psychiatry)
620 HOWARD AVE
ALTOONA, PA 16601
Physical Therapy Assistant
620 HOWARD AVE
ALTOONA, PA 16601

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 Rachel Zimmerman's NPI number?

The NPI number for Rachel Zimmerman is 1881329688. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Rachel Zimmerman located?

Rachel Zimmerman practices at 620 Howard Ave, Altoona, PA 16601. The listed phone number is (814) 889-2011.

What is Rachel Zimmerman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Rachel Zimmerman enrolled in Medicare?

Yes. Rachel 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 organizations bill Medicare for Rachel Zimmerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Zimmerman reassigns Medicare benefits to 3 organizations: Pittsburgh Critical Care Associates, Inc (Altoona, PA), Wake Forest University Health Sciences (Winston Salem, NC) and Carolinas Medical Center (Concord, NC). Each 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 Rachel Zimmerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Zimmerman accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and Oscar Health Plan of North Carolina, Inc list Rachel 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 Rachel Zimmerman affiliated with any hospitals?

According to CMS data, Rachel Zimmerman is affiliated with Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Rachel Zimmerman was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.