1. Home
  2. Directory
  3. Ohio
  4. Hillsboro
  5. Nurse Practitioner
  6. NPI Profile

KRYSTAL VERN SIMMONS
NPI 1073392940
Nurse Practitioner - Family in Hillsboro, OH

Active since September 28, 2023PECOS EnrolledAccepts Medicare Assignment
160 ROBERTS LN, HILLSBORO, OH 45133(937) 393-9955 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krystal Vern Simmons NPPES

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

KRYSTAL VERN SIMMONS (NPI 1073392940) is an individual family provider in Hillsboro, Ohio, licensed in Ohio (APRN.CNP.0035009) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073392940
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTAL VERN SIMMONS
Location Address160 ROBERTS LNHillsboro, OH 45133-7615
Mailing Address2632 Lower Twin RdGreenfield, OH 45123-9312 · (937) 763-0242
Phone(937) 393-9955
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 28, 2023
Last NPPES UpdateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1073392940 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 OH · APRN.CNP.0035009
160 ROBERTS LN, Hillsboro, OH 45133
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Krystal Vern Simmons 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 ID4082063565
PECOS Enrollment IDI20231208002002
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services28 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.
22 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Greenfield Area Medical Center

Critical Access Hospitals · Greenfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361304
Location550 Mirabeau StreetGreenfield, OH 45123 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45133 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 6

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

EMILY ELLEN JACKSON C.N.P
Nurse Practitioner (Family)
160 ROBERTS LN
HILLSBORO, OH 45133
Highland County (937) 393-9955
PROFESSIONAL PRIMARY CARE SERVICES OF SOUTHERN OHIO
Durable Medical Equipment & Medical Supplies
160 ROBERTS LN, SUITE A
HILLSBORO, OH 45133
Highland County (937) 383-1040
ADENA HEALTH SYSTEM
Family Medicine
160 ROBERTS LN
HILLSBORO, OH 45133
Highland County (937) 393-9955
DR. MATTHEW SCOTT STUDEBAKER M.D.
Family Medicine
160 ROBERTS LN
HILLSBORO, OH 45133
Highland County (937) 393-9955
MRS. MICHELLE LEE WOODYARD FNP
Nurse Practitioner (Family)
160 ROBERTS LN
HILLSBORO, OH 45133
Highland County (937) 393-9955
ADENA HEALTH SYSTEM
Clinic/Center (Rural Health)
160 ROBERTS LN
HILLSBORO, OH 45133
Highland County (937) 393-9955

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 Krystal Simmons's NPI number?

The NPI number for Krystal Simmons is 1073392940. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Where is Krystal Simmons located?

Krystal Simmons practices at 160 Roberts Ln, Hillsboro, OH 45133. The listed phone number is (937) 393-9955.

What is Krystal Simmons's specialty?

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

Is Krystal Simmons enrolled in Medicare?

Yes. Krystal 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.

What insurance does Krystal Simmons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Krystal Simmons 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 Krystal Simmons affiliated with any hospitals?

According to CMS data, Krystal Simmons is affiliated with Adena Regional Medical Center and Greenfield Area Medical Center.

When was this NPI record last updated?

The NPPES record for Krystal Simmons was last updated on November 7, 2023. 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.