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JENNIFER SIMMONS CNP
NPI 1164620159
Nurse Practitioner - Women's Health in Sylvania, OH

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
5308 HARROUN RD STE 160, SYLVANIA, OH 43560(419) 824-5668(419) 885-6919 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2021, Jul 17, 2020, Oct 10, 2016 (3 updates tracked since 2016).

About Jennifer Simmons Cnp NPPES

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

JENNIFER SIMMONS CNP (NPI 1164620159) is an individual women's health provider in Sylvania, Ohio, licensed in Ohio (APRN.CNP.0029980) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1164620159
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJENNIFER SIMMONSCredential: CNP
Location Address5308 HARROUN RD STE 160Sylvania, OH 43560-2174
Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531
Phone(419) 824-5668
Fax(419) 885-6919
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 11, 2007
Last NPPES UpdateNovember 4, 20213 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1164620159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in OH · APRN.CNP.0029980✔ Licensed in IL · 209010809
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209010809 (IL)
5308 HARROUN RD STE 160, Sylvania, OH 43560
Open in Google Maps ↗

Other Identifiers 2

OtherRN287709OH · License
Other209010809IL · Advanced Practice Nurse

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

Jennifer Simmons Cnp 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 ID4284719063
PECOS Enrollment IDI20140609000019
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

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 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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 3

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

JESSICA ABBATE BURNS M.D.
Obstetrics & Gynecology
5308 HARROUN RD STE 160
SYLVANIA, OH 43560
Lucas County (419) 824-5668
ALEX BLAIR ELLENBERGER MD
Surgery
5308 HARROUN RD STE 160
SYLVANIA, OH 43560
Lucas County (419) 824-6527
GRETCHEN LEE KUHLMAN NP
Nurse Practitioner
5308 HARROUN RD STE 160
SYLVANIA, OH 43560
Lucas County (567) 585-0840

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 Jennifer Simmons's NPI number?

The NPI number for Jennifer Simmons is 1164620159. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Jennifer Simmons located?

Jennifer Simmons practices at 5308 Harroun Rd Ste 160, Sylvania, OH 43560. The listed phone number is (419) 824-5668.

What is Jennifer Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jennifer Simmons enrolled in Medicare?

Yes. Jennifer 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 Jennifer Simmons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Jennifer 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 Jennifer Simmons affiliated with any hospitals?

According to CMS data, Jennifer Simmons is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Simmons was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.