TERESA C SIMAS N.P.
NPI 1194810739
Nurse Practitioner - Occupational Health in Visalia, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
5400 W HILLSDALE AVE, VISALIA, CA 93291(559) 738-7500 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teresa C Simas N.p. NPPES

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

TERESA C SIMAS N.P. (NPI 1194810739) is an individual occupational health provider in Visalia, California, licensed in California (NP8295) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1194810739
Entity TypeIndividualFemale
Primary Taxonomy363LX0106X
Provider Legal NameTERESA C SIMASCredential: N.P.
Location Address5400 W HILLSDALE AVEVisalia, CA 93291-8222
Mailing Address5400 W Hillsdale AveVisalia, CA 93291-8222 · (559) 738-7500 · Fax (559) 733-1941
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 3, 2016
NPI 1194810739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0106X
License Licensed in CA · NP8295
5400 W HILLSDALE AVE, Visalia, CA 93291

Other Identifiers 2

Medicare PINCA172954CA
Medicare UPINP04174

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

Teresa C Simas N.p. 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 ID5193766988
PECOS Enrollment IDI20050523000349
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.

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.
137 services111 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
48 services48 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
47 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services44 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
23 services12 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
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.

Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Internal Medicine
5400 W HILLSDALE AVE
VISALIA, CA 93291
Orthopaedic Surgery
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Nurse Practitioner
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Podiatrist
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291

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 Teresa Simas's NPI number?

The NPI number for Teresa Simas is 1194810739. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Teresa Simas located?

Teresa Simas practices at 5400 W Hillsdale Ave, Visalia, CA 93291. The listed phone number is (559) 738-7500.

What is Teresa Simas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

Is Teresa Simas enrolled in Medicare?

Yes. Teresa Simas 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.

When was this NPI record last updated?

The NPPES record for Teresa Simas was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.