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MRS. HEATHER SIMMONS CRNP
NPI 1265192959
Family Medicine in Huntsville, AL

Active since December 22, 2021PECOS Enrolled
185 WHITESPORT DR SW STE 1, HUNTSVILLE, AL 35801(562) 131-0312(800) 765-1229 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2023, Dec 22, 2021 (2 updates tracked since 2021).

About Mrs. Heather Simmons Crnp NPPES

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

MRS. HEATHER SIMMONS CRNP (NPI 1265192959) is an individual family medicine provider in Huntsville, Alabama, licensed in Alabama (1-156491) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265192959
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. HEATHER SIMMONSCredential: CRNP
Location Address185 WHITESPORT DR SW STE 1Huntsville, AL 35801-6487
Mailing Address102 Darden DrLaceys Spring, AL 35754-7214 · (256) 466-2319
Phone(562) 131-0312
Fax(800) 765-1229
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 22, 2021
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1265192959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 1-156491
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
185 WHITESPORT DR SW STE 1, Huntsville, AL 35801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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 (PECOS)

Mrs. Heather Simmons Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002200813
PECOS Enrollment IDI20220221001641
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 Heather Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marshall Medical Center South Manganaris Pulmonology
24 mi
Pulmonary Disease
55 ROWE DR, SUITE C
Guntersville, AL 35976
  • Reassigned Medicare billing, Alabama enrollment
  • 7 clinicians in this Medicare group
NPI 1013299304 (256) 753-8810

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.
160 services90 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
18 services18 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.
16 services16 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 2

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

SUNITHA A GHANTA MD
Family Medicine
185 WHITESPORT DR SW STE 1
HUNTSVILLE, AL 35801
Madison County (562) 131-0312
CARDINAL MEDICAL GROUP LLC
Family Medicine
185 WHITESPORT DR SW STE 1
HUNTSVILLE, AL 35801
Madison County (562) 131-0312

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 Heather Simmons's NPI number?

The NPI number for Heather Simmons is 1265192959. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Heather Simmons located?

Heather Simmons practices at 185 Whitesport Dr SW Ste 1, Huntsville, AL 35801. The listed phone number is (562) 131-0312.

What is Heather Simmons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heather Simmons enrolled in Medicare?

Yes. Heather Simmons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Simmons reassigns Medicare benefits to Marshall Medical Center South Manganaris Pulmonology (Guntersville, AL). 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 Heather Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Simmons accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Heather 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.

When was this NPI record last updated?

The NPPES record for Heather Simmons was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.