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

Q: What is Brian Simmons's NPI number?

The NPI number for Brian Simmons is 1225508096. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Q: What is Brian Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Simmons was last updated on August 6, 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.

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: November 01, 2026.

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

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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

Phone(801) 789-5566

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Family Medical - Eagle Mountain

Same address

Family Medicine

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

Reassigned Medicare billing, Utah enrollment
Medicare enrollment name: Premier Family Medical
83 clinicians in this Medicare group

NPI 1043762479 (801) 756-3511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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 2

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

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460051

Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake 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.

PREMIER FAMILY MEDICAL - EAGLE MOUNTAIN

Family Medicine

3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005

Utah County (801) 756-3511

CAMI JO WATT PA-C

Physician Assistant

3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005

Utah County (801) 789-5566

JARED MICHAEL ROBERTS

Family Medicine

3943 E PONY EXPRESS PKWY STE 120
EAGLE MOUNTAIN, UT 84005

Utah County (801) 789-5566

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 Brian Simmons's NPI number?

The NPI number for Brian Simmons is 1225508096. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Where is Brian Simmons located?

Brian Simmons practices at 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005. The listed phone number is (801) 789-5566.

What is Brian Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brian Simmons enrolled in Medicare?

Yes. Brian 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 organization bills Medicare for Brian Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Simmons reassigns Medicare benefits to Premier Family Medical - Eagle Mountain (Eagle Mountain, UT). The 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 Brian Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Simmons accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Brian 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 Brian Simmons affiliated with any hospitals?

According to CMS data, Brian Simmons is affiliated with American Fork Hospital and Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Brian Simmons was last updated on August 6, 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.