Rebecca Katherine Zimmerman, PA-C
Physician Assistant in Elkhart, IN. Individual provider (NPI-1).
NPI number1356945075
StatusActive
Last updated in NPPESApr 6, 2021
Details
- NPI
- 1356945075
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Katherine Zimmerman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2020
- Certification date
- Apr 6, 2021
- Last updated
- Apr 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
500 Arcade Ave Ste 400Elkhart, IN 46514-2487
Phone 574-522-2284
Mailing address
710 N Niles AveSouth Bend, IN 46617-1924
Phone 574-647-1610
Other practice locations
600 East Blvd
Elkhart, IN 46514-2483
Elkhart, IN 46514-2483
Phone 574-294-2621
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Physician Assistant providers in Elkhart · All 1,926 providers in Elkhart
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