NICOLE ZIMMER – Family Medicine Physician, NPI 1306374673

NICOLE ZIMMER is a healthcare provider. based in Midland, Michigan. specializing in FAMILY PRACTICE. They hold a License No. 4301112552 (MI). The NPI Number for NICOLE ZIMMER is 1306374673

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ZIMMER
NPI
1306374673
Phone
(989) 839-3500
Address
4611 CAMPUS RIDGE DR
Enumeration Date
31 May 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
9893458130
Graduation Year
2017 (9 years ago)
PAC ID
6507136033
Group Practice PAC ID
0143262915
Professional Enrollment ID
I20210730001891
Address ID
MI486611127WE335XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for NICOLE ZIMMER

  • Ridge Drive, Jerome Township, Midland County, Michigan, 48657, United States

    MIDLAND, MI 486409533

    Phone: (989) 839-3500

    Fax: (989) 839-3344

    Mailing address matches the actual address.

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: 2021-07-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210730001891IFamily PracticeMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 48640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143262915View full group profile
NameSpecialtyState
General Practice, Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Physician AssistantMI
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

How is NICOLE ZIMMER identified in CMS data?
CMS-hosted NPPES data lists NICOLE ZIMMER with NPI 1306374673.
Does the file indicate NICOLE ZIMMER is practicing under active NPI?
Directory data currently reports NICOLE ZIMMER as active.
What healthcare role does NICOLE ZIMMER hold?
Scheduling teams often label NICOLE ZIMMER under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect NICOLE ZIMMER on a map?
Expect Midland, Michigan as a primary anchor for NICOLE ZIMMER unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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