ERIN SIMMERMAN NP-C
NPI 1174867949
Nurse Practitioner - Primary Care in Lake Orion, MI

Active since November 19, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1428 S LAPEER RD, LAKE ORION, MI 48360(248) 645-0840 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erin Simmerman Np-c NPPES

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

ERIN SIMMERMAN NP-C (NPI 1174867949) is an individual primary care provider in Lake Orion, Michigan, licensed in Michigan (4704267223) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174867949
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameERIN SIMMERMANCredential: NP-C
Location Address1428 S LAPEER RDLake Orion, MI 48360-1437
Mailing AddressPo Box 2137Birmingham, MI 48012-2137 · (248) 693-0543
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 19, 2012
Last NPPES UpdateOctober 28, 2014
NPI 1174867949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MI · 4704267223
1428 S LAPEER RD, Lake Orion, MI 48360

Accepted 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

Erin Simmerman Np-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.

PECOS PAC ID4183878432
PECOS Enrollment IDI20130214000080
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 6

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
121 services24 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
46 services38 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
45 services33 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.
40 services35 patients
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.
33 services30 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48360 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
1428 S LAPEER RD
LAKE ORION, MI 48360
Advanced Practice Midwife
1428 S LAPEER RD
LAKE ORION, MI 48360
Nurse Practitioner (Family)
1428 S LAPEER RD
LAKE ORION, MI 48360
Advanced Practice Midwife
1428 S LAPEER RD
LAKE ORION, MI 48360
Nurse Practitioner (Family)
1428 S LAPEER RD
LAKE ORION, MI 48360
Obstetrics & Gynecology
1428 S LAPEER RD
LAKE ORION, MI 48360
Registered Nurse (Women's Health Care, Ambulatory)
1428 S LAPEER RD
LAKE ORION, MI 48360
Advanced Practice Midwife
1428 S LAPEER RD
LAKE ORION, MI 48360

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 Erin Simmerman's NPI number?

The NPI number for Erin Simmerman is 1174867949. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Where is Erin Simmerman located?

Erin Simmerman practices at 1428 S Lapeer Rd, Lake Orion, MI 48360. The listed phone number is (248) 645-0840.

What is Erin Simmerman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Erin Simmerman enrolled in Medicare?

Yes. Erin Simmerman 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 Erin Simmerman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Erin Simmerman 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 Erin Simmerman affiliated with any hospitals?

According to CMS data, Erin Simmerman is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Erin Simmerman was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.