MS. DONIELLE M. ZIMMERMAN P.A.-C
NPI 1336147768
Physician Assistant - Surgical in Greensboro, NC
NPI Status: Active since July 11, 2005
Contact Information
301 E WENDOVER AVE
SUITE 411
GREENSBORO, NC
ZIP 27401
Phone: (336) 832-3200
Fax: (336) 832-3201
- Individual
- Female
- Years of Experience 27
- Physician Assistant
- Surgical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DONIELLE ZIMMERMAN
This page provides the complete NPI Profile along with additional information for Donielle Zimmerman, a provider established in Greensboro, North Carolina with a medical specialization in Physician Assistant, focusing in surgical and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1336147768 assigned on July 2005. The practitioner's primary taxonomy code is 363AS0400X with license number 102812 (NC). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1336147768
- Provider Name
- MS. DONIELLE M. ZIMMERMAN P.A.-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 301 E WENDOVER AVE SUITE 411 GREENSBORO, NC 27401
- Location Phone
- (336) 832-3200
- Location Fax
- (336) 832-3201
- Mailing Address
- 1200 N ELM ST SUITE 411 GREENSBORO, NC 27401
- Mailing Phone
- (336) 832-3200
- Mailing Fax
- (336) 832-3201
- Medical School Name
- OTHER
- Graduation Year
- 1999
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-11-2005
- Last Update Date
- 12-05-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 102812
- License State
- NC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA9101135 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with Atrium Health - HMO
- Gold Elite Saver Plus - HMO
- Gold Elite Saver Plus | with Atrium Health - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
S95796 | MEDICARE UPIN (02) | FL | |
E3461W | MEDICARE PIN (08) | FL | |
E3461 | OTHER (01) | FL | BCBS |
290763100 | MEDICAID (05) | FL | |
E3461U | MEDICARE PIN (08) | FL | |
E3461V | MEDICARE PIN (08) | FL | |
E3461R | MEDICARE PIN (08) | FL | |
E3461S | MEDICARE PIN (08) | FL | |
E3461T | MEDICARE PIN (08) | FL |
Medicare Participation & PECOS Enrollment Status
Donielle Zimmerman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Donielle Zimmerman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5496850752
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20090603000242
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Donielle Zimmerman is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
MOSES H. CONE MEMORIAL HOSPITAL, THE | 1200 N ELM ST GREENSBORO, NC 27401 | (336) 832-7000 | Acute Care Hospitals |
Reviews for MS. DONIELLE M. ZIMMERMAN P.A.-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 3 | 6 | 1 | 4 | 7 | 7 | 6 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 6 | 6 | 2 | 4 | 14 | 7 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 6 + 6 + 2 + 4 + 1 + 4 + 7 + 1 + 2 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1336147768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1942207543 | DR. STEPHEN BARRY MACKLER DDS,MS Individual | Dentist (Periodontics) | 301 E WENDOVER AVE STE 315 GREENSBORO, NC 27401 (336) 379-8377 |
1982601233 | DR. ROBERT JOSEPH KNOX JR DDS Individual | Dentist (Periodontics) | 301 E WENDOVER AVE SUITE 315 GREENSBORO, NC 27401 (336) 379-8377 |
1205833324 | DR. NEIL D. LUTINS D.D.S. Individual | Dentist (Periodontics) | 301 E WENDOVER AVE 315 GREENSBORO, NC 27401 (336) 379-8377 |
1699746883 | DR. LUIS M BENITEZ DMD Individual | Dentist (Periodontics) | 301 E WENDOVER AVE SUITE 315 GREENSBORO, NC 27401 (336) 379-8377 |
1922034719 | DRS. LUTINS & BENITEZ, P.A. Organization | Dentist (Periodontics) | 301 E WENDOVER AVE SUITE 315 GREENSBORO, NC 27401 (336) 379-8377 |
1659473460 | DR. DIANA B COLLINS MD Individual | Obstetrics & Gynecology (Gynecology) | 301 E WENDOVER AVE SUITE 300 GREENSBORO, NC 27401 (336) 268-3380 |
1518036607 | TAMMY LEWIS GNP Individual | Nurse Practitioner (Adult Health) | 301 E WENDOVER AVE SUITE 200 GREENSBORO, NC 27401 (336) 274-3241 |
1194894279 | PETER LEVITIN MD Individual | Internal Medicine (Rheumatology) | 301 E WENDOVER AVE SUITE 200 GREENSBORO, NC 27401 (336) 274-3241 |
1336218296 | COLEY CASSIANO MD Individual | Family Medicine | 301 E WENDOVER AVE SUITE 215 GREENSBORO, NC 27401 (336) 379-1156 |
1245449750 | DR. PHILLIP E BOZOVICH PHARMD Individual | Pharmacist | 301 E WENDOVER AVE SUITE 115 GREENSBORO, NC 27401 (336) 272-7255 |
1275770638 | MS. ANN H HARDEN NP Individual | Nurse Practitioner (Adult Health) | 301 E WENDOVER AVE SUITE 200 GREENSBORO, NC 27401 (336) 274-3241 |
1417186297 | GREENSBORO RADIATION ONCOLOGIST, PA Organization | Specialist | 301 E WENDOVER AVE STE 411 GREENSBORO, NC 27401 (336) 832-3200 |
1902800550 | DONALD P BURNEY MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 301 E WENDOVER AVE SUITE 411 GREENSBORO, NC 27401 (336) 832-3200 |
1427053263 | PETER VAN TRIGT III MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 301 E WENDOVER AVE SUITE 411 GREENSBORO, NC 27401 (336) 832-3200 |
1902801699 | WAYNE ERIC GOLD PA-C Individual | Physician Assistant (Surgical) | 301 E WENDOVER AVE SUITE 411 GREENSBORO, NC 27401 (336) 832-3200 |
1235135443 | GINA LYNN COLLINS PA-C Individual | Physician Assistant (Surgical) | 301 E WENDOVER AVE SUITE 411 GREENSBORO, NC 27401 (336) 832-3200 |
1790722544 | DR. TIMOTHY WALTER LANE M.D. Individual | Internal Medicine (Infectious Disease) | 301 E WENDOVER AVE SUITE 111 GREENSBORO, NC 27401 (336) 832-7840 |
1194773457 | DR. JOSEPH HUSTON CLARK MD Individual | Pediatrics (Pediatric Gastroenterology) | 301 E WENDOVER AVE STE 311 GREENSBORO, NC 27401 (336) 272-6161 |
1336564863 | THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION Organization | Pediatrics | 301 E WENDOVER AVE SUITE 400 GREENSBORO, NC 27401 (336) 832-3150 |
1912324146 | JEREMY SMART PHARMD, BCPS, CPP Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 301 E WENDOVER AVE SUITE 310 GREENSBORO, NC 27401 (336) 275-4096 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336147768, enumerated in the NPI registry as an "individual" on July 11, 2005
The provider is located at 301 E Wendover Ave Suite 411 Greensboro, Nc 27401 and the phone number is (336) 832-3200
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider has more than 27 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): MOSES H. CONE MEMORIAL HOSPITAL, THE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 11, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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