BRIAN LEE SIMMONS FNP-C
NPI 1225508096
Nurse Practitioner in Eagle Mountain, UT

Active since December 04, 2018PECOS EnrolledAccepts Medicare Assignment
3943 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005(801) 789-5566(801) 642-2942 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2020, Dec 4, 2018 (2 updates tracked since 2018).

About Brian Lee Simmons Fnp-c NPPES

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

BRIAN LEE SIMMONS FNP-C (NPI 1225508096) is an individual nurse practitioner in Eagle Mountain, Utah, licensed in Utah (9136475-4405) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with American Fork Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225508096
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBRIAN LEE SIMMONSCredential: FNP-C
Location Address3943 E PONY EXPRESS PKWY STE 120Eagle Mountain, UT 84005-5543
Mailing Address3943 E Pony Express Pkwy Ste 120Eagle Mountain, UT 84005-5543 · (801) 789-5566 · Fax (081) 642-2942
Fax(801) 642-2942
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 4, 2018
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
NPI 1225508096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in UT · 9136475-4405
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3943 E PONY EXPRESS PKWY STE 120, Eagle Mountain, UT 84005

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

Brian Lee Simmons Fnp-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 ID749528032
PECOS Enrollment IDI20190212001396
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
54 services31 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.
21 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84005 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005
Family Medicine
3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005
Family Medicine
3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225508096, enumerated as an "individual" on December 04, 2018.

The provider is located at 3943 E PONY EXPRESS PKWY STE 120 EAGLE MOUNTAIN, UT 84005 and the phone number is (801) 789-5566.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.

Brian Simmons is affiliated with: AMERICAN FORK HOSPITAL.