DR. KENNEDY MORGAN SIMMONS OD
NPI 1114766607
Optometrist in Stillwater, MN
About Dr. Kennedy Morgan Simmons Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNEDY MORGAN SIMMONS OD (NPI 1114766607) is an individual optometrist in Stillwater, Minnesota, licensed in Minnesota (3953) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Kennedy Morgan Simmons Od 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
2Medicare enrollment records show Kennedy Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 23 clinicians in this Medicare group
Memphis, TN 38104
- Reassigned Medicare billing, Tennessee enrollment
- 17 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 55082 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.
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 Kennedy Simmons's NPI number?
The NPI number for Kennedy Simmons is 1114766607. It was assigned to this individual provider in the NPPES registry on May 23, 2024.
Where is Kennedy Simmons located?
Kennedy Simmons practices at 2950 Curve Crest Blvd W, Stillwater, MN 55082. The listed phone number is (651) 275-3000.
What is Kennedy Simmons's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kennedy Simmons enrolled in Medicare?
Yes. Kennedy 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 Kennedy Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Simmons reassigns Medicare benefits to 2 organizations: Associated Eye Care Ltd (Stillwater, MN) and Church Health Center Of Memphis Inc (Memphis, TN). 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 Kennedy Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kennedy Simmons accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Kennedy 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.
When was this NPI record last updated?
The NPPES record for Kennedy Simmons 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.
# Dr. Kennedy Morgan Simmons, OD · NPI 1114766607
Optometrist provider in Stillwater, Minnesota. Individual provider, active in the CMS NPPES registry since May 23, 2024.
## Identity
- **NPI:** 1114766607 (Entity type: Individual)
- **Enumerated:** May 23, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3953 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2950 CURVE CREST BLVD W, Stillwater, MN 55082-5085
- **Phone:** (651) 275-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Associated Eye Care Ltd (NPI 1881699197, Stillwater, MN); Church Health Center Of Memphis Inc (NPI 1427030907, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2024
## Record status
- **NPPES last updated:** July 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114766607) · Data from the CMS NPPES public registry.