MR. KENNETH E ZIMMERMAN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306998141
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for MR. KENNETH E ZIMMERMAN (PMHNP)
66 CLUB RD STE 360
EUGENE, OR 974012463
Phone: (541) 912-1295
Fax: (541) 972-8779
Type: Mailing
66 CLUB RD STE 120
EUGENE, OR 974012439
Phone: (541) 393-5983
Fax: (541) 393-5984
Type: Mailing
66 CLUB RD STE 210
EUGENE, OR 974012599
Phone: (541) 393-5983
Fax: (541) 393-5984
Type: Location
Northbank Building, 44-66, Club Road, Eugene, Lane County, Oregon, 97401, United States
STE 140
EUGENE, OR 97401
Phone: (541) 393-5983
Fax: (541) 393-5984
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($92).
Total Amount
$221
General + Research + Ownership
Payments
9
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-04-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060421000030 | I | Nurse Practitioner | OR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 12 | $0 |
Insurance plans in this area (ZIP 97401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | MS | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | CO | |
| - | OR | |
| Clinical Psychologist | OR | |
| - | OR |
Reviews
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