CLAIRE SIMS
NPI 1215513932
Nurse Practitioner - Family in San Antonio, TX

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
7115 BLANCO RD STE 101, SAN ANTONIO, TX 78216(800) 640-3451(385) 287-1900 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2023, Mar 23, 2021 (2 updates tracked since 2021).

About Claire Sims NPPES

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

CLAIRE SIMS (NPI 1215513932) is an individual family provider in San Antonio, Texas, licensed in Texas (1031101) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215513932
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAIRE SIMS
Location Address7115 BLANCO RD STE 101San Antonio, TX 78216-5045
Mailing AddressPo Box 1200Pleasant Grove, UT 84062-1200 · (800) 640-3451
Fax(385) 287-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2021
Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
NPI 1215513932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1031101
7115 BLANCO RD STE 101, San Antonio, TX 78216

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

Claire Sims 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 ID5799172805
PECOS Enrollment IDI20220420000257
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 2

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
132 services22 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
41 services15 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
6 suppliers13 claims148 services$20.23 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
6 suppliers15 claims188 services$9.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
7115 BLANCO RD STE 101
SAN ANTONIO, TX 78216
Nurse Practitioner (Acute Care)
7115 BLANCO RD STE 101
SAN ANTONIO, TX 78216
Nurse Practitioner (Family)
7115 BLANCO RD STE 101
SAN ANTONIO, TX 78216
Nurse Practitioner (Family)
7115 BLANCO RD STE 101
SAN ANTONIO, TX 78216
Physician Assistant (Medical)
7115 BLANCO RD STE 101
SAN ANTONIO, TX 78216
Family Medicine
7115 BLANCO RD STE 101
SAN ANTONIO, TX 78216
Nurse Practitioner (Family)
7115 BLANCO RD STE 101
SAN ANTONIO, TX 78216
Nurse Practitioner (Family)
7115 BLANCO RD STE 101
SAN ANTONIO, TX 78216

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 Claire Sims's NPI number?

The NPI number for Claire Sims is 1215513932. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Claire Sims located?

Claire Sims practices at 7115 Blanco Rd Ste 101, San Antonio, TX 78216. The listed phone number is (800) 640-3451.

What is Claire Sims's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Claire Sims enrolled in Medicare?

Yes. Claire Sims 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 Claire Sims accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Claire Sims 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 Claire Sims affiliated with any hospitals?

According to CMS data, Claire Sims is affiliated with Adventhealth Central Texas.

When was this NPI record last updated?

The NPPES record for Claire Sims was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.