MS. CAROL W SIMMONS RN,FNP,APN
NPI 1003892951
Nurse Practitioner - Family in Memphis, TN

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
9155 CRESTWYN HILLS DR, MEMPHIS, TN 38125(901) 261-4848 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carol W Simmons Rn,fnp,apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAROL W SIMMONS RN,FNP,APN (NPI 1003892951) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (11782) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1003892951
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CAROL W SIMMONSCredential: RN,FNP,APN
Location Address9155 CRESTWYN HILLS DRMemphis, TN 38125-8501
Mailing Address1509 Dulles DrLafayette, LA 70506-3718 · (337) 991-9276
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 21, 2005
Last NPPES UpdateApril 7, 2015
NPI 1003892951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 11782
9155 CRESTWYN HILLS DR, Memphis, TN 38125

Other Identifiers 3

Medicare UPINQ62659TN
Medicare ID-Type Unspecified3642375TN
Medicaid3642375TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Carol W Simmons Rn,fnp,apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486668191
PECOS Enrollment IDI20060202000212
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
540 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
212 services198 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
81 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services23 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9155 CRESTWYN HILLS DR
MEMPHIS, TN 38125
Family Medicine
9155 CRESTWYN HILLS DR
MEMPHIS, TN 38125
Family Medicine
9155 CRESTWYN HILLS DR
MEMPHIS, TN 38125
Nurse Practitioner
9155 CRESTWYN HILLS DR
MEMPHIS, TN 38125
Nurse Practitioner
9155 CRESTWYN HILLS DR
MEMPHIS, TN 38125
Family Medicine
9155 CRESTWYN HILLS DR
MEMPHIS, TN 38125
Family Medicine
9155 CRESTWYN HILLS DR
MEMPHIS, TN 38125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Simmons's NPI number?

The NPI number for Carol Simmons is 1003892951. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Carol Simmons located?

Carol Simmons practices at 9155 Crestwyn Hills Dr, Memphis, TN 38125. The listed phone number is (901) 261-4848.

What is Carol Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carol Simmons enrolled in Medicare?

Yes. Carol Simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carol Simmons was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.