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KENNETHA L SIMIEN NP
NPI 1013550433
Nurse Practitioner - Family in Sulphur, LA

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment
475 HIGH HOPE RD, SULPHUR, LA 70663(337) 527-8140 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Oct 18, 2019 (2 updates tracked since 2019).

About Kennetha L Simien Np NPPES

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

KENNETHA L SIMIEN NP (NPI 1013550433) is an individual family provider in Sulphur, Louisiana, licensed in Louisiana (208939) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and maintains a secondary practice location in Sulphur.

NPPES Registry Identity

NPI1013550433
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENNETHA L SIMIENCredential: NP
Location Address475 HIGH HOPE RDSulphur, LA 70663-0037
Mailing Address702 E School St Ste BLake Charles, LA 70607-3028 · (337) 912-5984
Phone(337) 527-8140
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2019
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1013550433 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 LA · 208939
475 HIGH HOPE RD, Sulphur, LA 70663
Open in Google Maps ↗

Secondary Practice Location 1

Location 1475 High Hope RdSulphur, LA 70663-0037 · Phone (337) 527-8140

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, HMO Louisiana.Insurance ›

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

Kennetha L Simien Np 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 ID3476885740
PECOS Enrollment IDI20251029002096
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 10

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
751 services84 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
415 services73 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
300 services73 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
186 services57 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
69 services54 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
54 services54 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Calcasieu Cameron Hospital

Acute Care Hospitals · Sulphur, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190013
Location701 East Cypress StreetSulphur, LA 70663 · Calcasieu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70663 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES 3

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

HIGH HOPE REHABILITATION AND NURSING CENTER LLC
Skilled Nursing Facility
475 HIGH HOPE RD
SULPHUR, LA 70663
Calcasieu Parish (337) 527-8140
HIGH HOPE CARE CENTER
Nursing Facility/Intermediate Care Facility
475 HIGH HOPE RD
SULPHUR, LA 70663
Calcasieu Parish (337) 527-8140
HIGH HOPE CARE CENTER INC
Skilled Nursing Facility
475 HIGH HOPE RD
SULPHUR, LA 70663
Calcasieu Parish (337) 527-8140

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 Kennetha Simien's NPI number?

The NPI number for Kennetha Simien is 1013550433. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Kennetha Simien located?

Kennetha Simien practices at 475 High Hope Rd, Sulphur, LA 70663. The listed phone number is (337) 527-8140.

What is Kennetha Simien's specialty?

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

Is Kennetha Simien enrolled in Medicare?

Yes. Kennetha Simien 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.

What insurance does Kennetha Simien accept?

Health plans from AmeriHealth Caritas Next and HMO Louisiana list Kennetha Simien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kennetha Simien affiliated with any hospitals?

According to CMS data, Kennetha Simien is affiliated with West Calcasieu Cameron Hospital.

When was this NPI record last updated?

The NPPES record for Kennetha Simien was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.