PAULA MICHALE SIMPSON PMHNP-BC
NPI 1255988879
Nurse Practitioner - Psychiatric/Mental Health in Orchard Park, NY

Active since August 19, 2019PECOS Enrolled
3176 ABBOTT RD STE 500, ORCHARD PARK, NY 14127(716) 822-2177(716) 822-8165 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paula Michale Simpson Pmhnp-bc NPPES

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

PAULA MICHALE SIMPSON PMHNP-BC (NPI 1255988879) is an individual psychiatric/mental health provider in Orchard Park, New York, licensed in New York (F402645) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255988879
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePAULA MICHALE SIMPSONCredential: PMHNP-BC
Location Address3176 ABBOTT RD STE 500Orchard Park, NY 14127-1069
Mailing Address3176 Abbott Rd Ste 500Orchard Park, NY 14127-1069 · (716) 822-2177 · Fax (716) 822-8165
Fax(716) 822-8165
Sole ProprietorNo
Enumeration DateAugust 19, 2019
✔ NPI 1255988879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F402645
3176 ABBOTT RD STE 500, Orchard Park, NY 14127

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paula Michale Simpson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Paula Simpson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
385 5TH AVE RM 1106
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group

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

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.
31 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Peer Specialist
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Social Worker
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Counselor
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Peer Specialist
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Counselor
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Counselor
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Counselor (Mental Health)
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Registered Nurse
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127

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 Paula Simpson's NPI number?

The NPI number for Paula Simpson is 1255988879. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Paula Simpson located?

Paula Simpson practices at 3176 Abbott Rd Ste 500, Orchard Park, NY 14127. The listed phone number is (716) 822-2177.

What is Paula Simpson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Paula Simpson enrolled in Medicare?

Yes. Paula Simpson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paula Simpson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Simpson reassigns Medicare benefits to Nyc Psychiatric Associates (New York, NY). 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 Paula Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Simpson accept?

Health plans from Oscar Health list Paula Simpson 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.

When was this NPI record last updated?

The NPPES record for Paula Simpson was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.