DORA SIMS APRN, FNP-BC
NPI 1023826476
Nurse Practitioner - Family in Lexington, KY

Active since December 18, 2024PECOS EnrolledAccepts Medicare Assignment
1306 VERSAILLES RD STE 120, LEXINGTON, KY 40504(859) 259-2635 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dora Sims Aprn, Fnp-bc NPPES

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

DORA SIMS APRN, FNP-BC (NPI 1023826476) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (4031593) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023826476
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDORA SIMSCredential: APRN, FNP-BC
Location Address1306 VERSAILLES RD STE 120Lexington, KY 40504-1795
Mailing Address1306 Versailles Rd Ste 120Lexington, KY 40504-1795 · (859) 259-2635
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 18, 2024
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
NPI 1023826476 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 KY · 4031593
1306 VERSAILLES RD STE 120, Lexington, KY 40504

Accepted 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

Dora Sims Aprn, Fnp-bc 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 ID5496283178
PECOS Enrollment IDI20250108002889
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

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

Physician Assistant
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Physician Assistant
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Social Worker (Clinical)
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Family Medicine
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Social Worker (Clinical)
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Nurse Practitioner (Family)
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Social Worker (Clinical)
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Nurse Practitioner
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504

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 Dora Sims's NPI number?

The NPI number for Dora Sims is 1023826476. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Dora Sims located?

Dora Sims practices at 1306 Versailles Rd Ste 120, Lexington, KY 40504. The listed phone number is (859) 259-2635.

What is Dora Sims's specialty?

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

Is Dora Sims enrolled in Medicare?

Yes. Dora Sims 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 Dora Sims accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Dora Sims 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.

When was this NPI record last updated?

The NPPES record for Dora Sims was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.