FELICIA VANESSA ZIMMERMAN – Family Nurse Practitioner, NPI 1104620095

FELICIA VANESSA ZIMMERMAN is a healthcare provider. based in Edina, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 11857 (MN). The NPI Number for FELICIA VANESSA ZIMMERMAN is 1104620095

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
FELICIA VANESSA ZIMMERMAN
NPI
1104620095
Phone
(952) 818-8888
Address
7700 FRANCE AVE S STE 500
Enumeration Date
2 April 2025
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516027500
Graduation Year
2024 (2 years ago)
PAC ID
0648786277
Group Practice PAC ID
2062306434
Professional Enrollment ID
I20250721004140
Address ID
MN551072226SA153XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for FELICIA VANESSA ZIMMERMAN

  • 7700 FRANCE AVE S STE 500

    EDINA, MN 554355898

    Phone: (952) 818-8888

    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: 2025-07-21

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
I20250721004140INurse PractitionerMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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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: 2062306434View full group profile
NameSpecialtyState
Physician AssistantMN
Certified Nurse Midwife (Cnm)MN
Mental Health CounselorMN
Certified Nurse Midwife (Cnm)MN
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
-NJ
Family PracticeMN
Clinical Social WorkerFL
-MN

Reviews

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Frequently asked questions

What NPI should I save for FELICIA VANESSA ZIMMERMAN?
Save NPI 1104620095 if you need a stable reference for FELICIA VANESSA ZIMMERMAN.
Does this profile mean FELICIA VANESSA ZIMMERMAN is currently active?
Yes — FELICIA VANESSA ZIMMERMAN appears active in the national provider directory.
Can you summarize FELICIA VANESSA ZIMMERMAN's specialty in plain language?
Clinically, the directory lists FELICIA VANESSA ZIMMERMAN with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for FELICIA VANESSA ZIMMERMAN?
We surface Edina, Minnesota for FELICIA VANESSA ZIMMERMAN based on available NPPES addresses.
Is FELICIA VANESSA ZIMMERMAN a real provider?
This page reflects official NPPES data for NPI 1104620095. Always confirm identity and privileges with the practice and licensing boards.

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