DR. KEENAN JALEEL SIMMONS FNP
NPI 1184258642
Nurse Practitioner - Family in Anderson, SC
About Dr. Keenan Jaleel Simmons Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEENAN JALEEL SIMMONS FNP (NPI 1184258642) is an individual family provider in Anderson, South Carolina, licensed in South Carolina (23714) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2019).
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. Keenan Jaleel Simmons Fnp 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
7Medicare enrollment records show Keenan Simmons reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anderson, SC 29621
- Reassigned Medicare billing, South Carolina enrollment
- 146 clinicians in this Medicare group
Pelzer, SC 29669
- Reassigned Medicare billing, South Carolina enrollment
- 8 clinicians in this Medicare group
Easley, SC 29640
- Reassigned Medicare billing, South Carolina enrollment
- 8 clinicians in this Medicare group
Brevard, NC 28712
- Reassigned Medicare billing, North Carolina enrollment
- 234 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, North Carolina and South Carolina enrollments
- 511 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, North Carolina enrollment
- 557 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, South Carolina enrollment
- 311 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Mission Hospital And Asheville Surgery Ce
Acute Care Hospitals · Asheville, NCThe Mcdowell Hospital
Acute Care Hospitals · Marion, NCAnmed Health
Acute Care Hospitals · Anderson, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29621 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 9
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 Keenan Simmons's NPI number?
The NPI number for Keenan Simmons is 1184258642. It was assigned to this individual provider in the NPPES registry on February 24, 2020.
Where is Keenan Simmons located?
Keenan Simmons practices at 1835 Rogers Rd, Anderson, SC 29621. The listed phone number is (864) 224-3358.
What is Keenan Simmons's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keenan Simmons enrolled in Medicare?
Yes. Keenan 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 Keenan Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keenan Simmons reassigns Medicare benefits to 7 organizations: 24 On Physicians, PC (Anderson, SC), Pelzer Urgent Care LLC (Pelzer, SC), Sc Urgent Care LLC (Easley, SC), Southeastern Medical Group, PC (Brevard, NC), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA) and 2 more organizations, listed in the Medicare section above. 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 Keenan Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keenan Simmons accept?
Health plans from First Choice Next and Molina Healthcare list Keenan 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 Keenan Simmons affiliated with any hospitals?
According to CMS data, Keenan Simmons is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, The Mcdowell Hospital and Anmed Health.
When was this NPI record last updated?
The NPPES record for Keenan Simmons was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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. Keenan Jaleel Simmons, FNP · NPI 1184258642
Family physician in Anderson, South Carolina. Individual provider, active in the CMS NPPES registry since February 24, 2020.
## Identity
- **NPI:** 1184258642 (Entity type: Individual)
- **Enumerated:** February 24, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23714 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1835 ROGERS RD, Anderson, SC 29621-2278
- **Phone:** (864) 224-3358
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): 24 On Physicians, PC (NPI 1588613343, Anderson, SC); Pelzer Urgent Care LLC (NPI 1619656352, Pelzer, SC); Sc Urgent Care LLC (NPI 1962161646, Easley, SC); Southeastern Medical Group, PC (NPI 1184669053, Brevard, NC); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1184258642) · Data from the CMS NPPES public registry.