KALYSIA ZIMMERMAN (PA-C) – Rehabilitation Practitioner, NPI 1912427121

KALYSIA ZIMMERMAN (PA-C) is a healthcare provider. based in Eaton rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601010954 (). The NPI Number for KALYSIA ZIMMERMAN (PA-C) is 1912427121

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KALYSIA ZIMMERMAN (PA-C)
NPI
1912427121
Phone
(517) 489-9211
Address
1444 WATER ST
Enumeration Date
20 June 2017
Deactivation Date
23 December 2021
Reactivation Date
7 February 2022
Last Update Date
8 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173493900
Graduation Year
2021 (5 years ago)
PAC ID
0143613067
Group Practice PAC ID
7416440805
Professional Enrollment ID
I20220216002359
Address ID
MI488646036OK2090XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for KALYSIA ZIMMERMAN (PA-C)

  • 1444, Water Street, Eaton Rapids, Hamlin Township, Eaton County, Michigan, 48827, United States

    EATON RAPIDS, MI 488271860

    Phone: (517) 489-9211

    Type: Location

  • 200 JEFFERSON AVE SE

    GRAND RAPIDS, MI 495034502

    Phone: (517) 489-9211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABBVIE INC. ($139).

Total Amount

$239

General + Research + Ownership

Payments

12

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-02-16

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
I20220216002359IPhysician AssistantMITBD

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
81002Urinalysis, manual test5146$0
99213Established patient office or other outpatient visit, 20-29 minutes4543$0
51798Ultrasound measurement of bladder capacity after voiding3934$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2923$0
99285Emergency department visit with high level of medical decision making2726$0
View full utilization report →

Insurance plans in this area (ZIP 48827)

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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: 7416440805View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
U R O L O G YMI

Reviews

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Frequently asked questions

Can I cross-check KALYSIA ZIMMERMAN (PA-C) using NPI 1912427121?
NPI 1912427121 belongs to KALYSIA ZIMMERMAN (PA-C); compare other details if you need extra assurance.
Is there an active status for KALYSIA ZIMMERMAN (PA-C)?
For scheduling context, KALYSIA ZIMMERMAN (PA-C) is shown as active in the registry.
What clinical focus is listed for KALYSIA ZIMMERMAN (PA-C)?
At a glance, KALYSIA ZIMMERMAN (PA-C) is tied to Rehabilitation Practitioner. Clinical services aligned with this taxonomy classification.
Is KALYSIA ZIMMERMAN (PA-C) located near Eaton Rapids?
KALYSIA ZIMMERMAN (PA-C) currently maps to Eaton Rapids, Michigan in this extract.
When was this NPI issued?
Enumeration for KALYSIA ZIMMERMAN (PA-C) is noted as June 20, 2017 where the registry provides it.

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