KIM SIMMONS FNP-C
NPI 1083147946
Nurse Practitioner in Sayre, PA
About Kim Simmons Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM SIMMONS FNP-C (NPI 1083147946) is an individual nurse practitioner in Sayre, Pennsylvania, licensed in Pennsylvania (SP017370) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pine City, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kim Simmons Fnp-c 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kim Simmons reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sayre, PA 18840
- Reassigned Medicare billing, New York and Pennsylvania enrollments
- Medicare enrollment name: Guthrie Medical Group PC
- Also billed through NPI 1053363408 (Pennsylvania)
- 798 clinicians in this Medicare group
Vestal, NY 13850
- Reassigned Medicare billing, New York enrollment
- 24 clinicians in this Medicare group
Rochester, NY 14624
- Reassigned Medicare billing, New York enrollment
- 203 clinicians in this Medicare group
Rochester, NY 14624
- Reassigned Medicare billing, New York enrollment
- 185 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAYRE, PA 18840
SAYRE, PA 18840
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 Kim Simmons's NPI number?
The NPI number for Kim Simmons is 1083147946. It was assigned to this individual provider in the NPPES registry on April 7, 2017.
Where is Kim Simmons located?
Kim Simmons practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 887-2845.
What is Kim Simmons's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kim Simmons enrolled in Medicare?
Yes. Kim 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.
Which organizations bill Medicare for Kim Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Simmons reassigns Medicare benefits to 4 organizations: Guthrie Medical Group, P.C. (Sayre, PA), Neurosciences Healthcare Medicine, PC (Vestal, NY), Delphi Healthcare PLLC (Rochester, NY) and Delphi Hospitalist Services LLC (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kim Simmons was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kim Simmons, FNP-C · NPI 1083147946
Nurse Practitioner physician in Sayre, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 7, 2017.
## Identity
- **NPI:** 1083147946 (Entity type: Individual)
- **Enumerated:** April 7, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP017370 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUTHRIE SQ, Sayre, PA 18840-1625
- **Phone:** (570) 887-2845 · **Fax:** (570) 887-2011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Guthrie Medical Group, P.C. (NPI 1245246644, Sayre, PA); Neurosciences Healthcare Medicine, PC (NPI 1497308548, Vestal, NY); Delphi Healthcare PLLC (NPI 1003075029, Rochester, NY); Delphi Hospitalist Services LLC (NPI 1922270420, Rochester, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1083147946) · Data from the CMS NPPES public registry.