MRS. SAMANTHA JO ZIMMERMAN (APRN) – Family Nurse Practitioner, NPI 1720633019
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. SAMANTHA JO ZIMMERMAN (APRN)
317, South 4th Street, Burlington, Des Moines County, Iowa, 52601, United States
BURLINGTON, KS 668391913
Phone: (620) 583-2677
Type: Mailing
420, West 15th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States
EMPORIA, KS 668015367
Phone: (620) 342-4864
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191007000274 | I | Nurse Practitioner | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 25 | 19 | $0 |
| 83036 | Hemoglobin a1c level | 17 | 14 | $0 |
Insurance plans in this area (ZIP 66839)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Nurse Practitioner | TN | |
| - | KS | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Certified Nurse Midwife (Cnm) | KS | |
| Family Practice, Emergency Medicine | KS |
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