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PETA-GAYE SIMMS CRNA
NPI 1104499094
Nurse Anesthetist, Certified Registered in Fairfield, CT

Active since July 20, 2021PECOS EnrolledAccepts Medicare Assignment
1073 N BENSON RD, FAIRFIELD, CT 06824(347) 571-3579 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Jul 20, 2021 (2 updates tracked since 2021).

About Peta-gaye Simms Crna NPPES

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

PETA-GAYE SIMMS CRNA (NPI 1104499094) is an individual nurse anesthetist, certified registered in Fairfield, Connecticut, licensed in Connecticut (149052) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104499094
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NamePETA-GAYE SIMMSCredential: CRNA
Location Address1073 N BENSON RDFairfield, CT 06824-5171
Mailing Address900 Mix Ave Apt 16Hamden, CT 06514-5106 · (347) 571-3579
Phone(347) 571-3579
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 20, 2021
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1104499094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CT · 149052
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 178848 (CT)
1073 N BENSON RD, Fairfield, CT 06824
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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

Peta-gaye Simms Crna 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 ID8820520430
PECOS Enrollment IDI20241021000419
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.

Medicare Billing Reassignment

Medicare enrollment records show Peta-gaye Simms reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University
19 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432

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 06824 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

MAEGAN LILLIAN WILD
Social Worker (Clinical)
1073 N BENSON RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 254-4000
BRENDAN OSLER
Counselor
1073 N BENSON RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 254-4000
NATASHIA GREEN RN
Registered Nurse
1073 N BENSON RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 254-4000
MACKENZIE GORDON RDN
Dietitian, Registered
1073 N BENSON RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (617) 721-1544
KELLEY B SHANAHAN NP
Nurse Practitioner (Family)
1073 N BENSON RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (206) 254-4000
MRS. TERRI ANNE PISSERI A.P.R.N.
Nurse Practitioner (Family)
1073 N BENSON RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 254-4011
MRS. RENEE PATRICE DIVINE
Nurse Practitioner (Psychiatric/Mental Health)
1073 N BENSON RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 254-4000
JENNA INNAIMO
Counselor (School)
1073 N BENSON RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 254-4000

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 Peta-gaye Simms's NPI number?

The NPI number for Peta-gaye Simms is 1104499094. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Peta-gaye Simms located?

Peta-gaye Simms practices at 1073 N Benson Rd, Fairfield, CT 06824. The listed phone number is (347) 571-3579.

What is Peta-gaye Simms's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Peta-gaye Simms enrolled in Medicare?

Yes. Peta-gaye Simms 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 organization bills Medicare for Peta-gaye Simms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peta-gaye Simms reassigns Medicare benefits to Yale University (New Haven, CT). The 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 Peta-gaye Simms'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 Peta-gaye Simms was last updated on July 15, 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.