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MRS. ANGELA MARIE SIMMONS C.R.N.P.
NPI 1225363922
Nurse Practitioner - Family in Berlin, MD

Active since October 14, 2009PECOS EnrolledAccepts Medicare Assignment
77.45/100
CMS Quality Rating
9956 NORTH MAIN STREET, UNIT 2, BERLIN, MD 21811(410) 641-9568(410) 641-1006 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Angela Marie Simmons C.r.n.p. NPPES

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

MRS. ANGELA MARIE SIMMONS C.R.N.P. (NPI 1225363922) is an individual family provider in Berlin, Maryland, licensed in Maryland (R160125) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1225363922
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANGELA MARIE SIMMONSCredential: C.R.N.P.
Location Address9956 NORTH MAIN STREET, UNIT 2Berlin, MD 21811-1060
Mailing Address9956 N Main St, Unit 2Berlin, MD 21811-1077 · (410) 641-9568 · Fax (410) 641-1006
Phone(410) 641-9568
Fax(410) 641-1006
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 14, 2009
Last NPPES UpdateFebruary 13, 2012
✔ NPI 1225363922 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 MD · R160125
9956 NORTH MAIN STREET, Berlin, MD 21811
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Mrs. Angela Marie Simmons C.r.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 ID3173659380
PECOS Enrollment IDI20100408000530
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 3

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.
96 services50 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
67 services35 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.
38 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21811 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

77.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.52
Promoting Interoperability87
Improvement Activities40
Cost58.13

Other Providers at the Same Location NPPES 2

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

ALAE ZARIF M.D.
Surgery
9956 NORTH MAIN STREET, UNIT 2
BERLIN, MD 21811
Worcester County (410) 641-9568
ALAE ZARIF MD LLC
Surgery
9956 NORTH MAIN STREET, UNIT 2
BERLIN, MD 21811
Worcester County (410) 629-9568

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 Angela Simmons's NPI number?

The NPI number for Angela Simmons is 1225363922. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Angela Simmons located?

Angela Simmons practices at 9956 North Main Street Unit 2, Berlin, MD 21811. The listed phone number is (410) 641-9568.

What is Angela Simmons's specialty?

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

Is Angela Simmons enrolled in Medicare?

Yes. Angela 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 Angela Simmons accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Angela 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 Angela Simmons affiliated with any hospitals?

According to CMS data, Angela Simmons is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Angela Simmons was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.