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MRS. KATRINA M SIMMONS NP
NPI 1265918718
Nurse Practitioner in Lowell, MA

Active since July 18, 2018PECOS EnrolledAccepts Medicare Assignment
295 VARNUM AVE, LOWELL, MA 01854(978) 937-6000 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2022, Oct 30, 2020, Oct 3, 2018 and 1 more (4 updates tracked since 2018).

About Mrs. Katrina M Simmons Np NPPES

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

MRS. KATRINA M SIMMONS NP (NPI 1265918718) is an individual nurse practitioner in Lowell, Massachusetts, licensed in Massachusetts (RN252637) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265918718
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KATRINA M SIMMONSCredential: NP
Location Address295 VARNUM AVELowell, MA 01854-2134
Mailing Address295 Varnum AveLowell, MA 01854-2134 · (978) 937-6000
Phone(978) 937-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2018
Last NPPES UpdateDecember 28, 20224 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1265918718 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 MA · RN252637
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.
295 VARNUM AVE, Lowell, MA 01854
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Other Identifiers 1

Medicaid110146059AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Katrina M Simmons Np 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 ID3870837453
PECOS Enrollment IDI20181210000159
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 2

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.
455 services339 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services58 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01854 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

RAVI KRISHNA MURTHY MD
Emergency Medicine
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6161
NICOLE FLAHERTY
Nurse Practitioner (Pediatrics)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MRS. JULIE FRANCES VERGADOS SIMONEAU
Nurse Practitioner
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6088
KELLY SURABIAN
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MISS MICHELLE MUKASA PA-C
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
DR. SUFYAN A SHEIKH MD
Anesthesiology
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC
LOWELL, MA 01854
Middlesex County (978) 454-0941
DR. CYNTHIA LYNN MANNING M.D.
Hospitalist
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
JULIEANN DUONG PA-C
Physician Assistant (Medical)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000

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 Katrina Simmons's NPI number?

The NPI number for Katrina Simmons is 1265918718. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Katrina Simmons located?

Katrina Simmons practices at 295 Varnum Ave, Lowell, MA 01854. The listed phone number is (978) 937-6000.

What is Katrina Simmons's specialty?

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

Is Katrina Simmons enrolled in Medicare?

Yes. Katrina 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 Katrina Simmons accept?

Health plans from Anthem Blue Cross and Blue Shield list Katrina 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 Katrina Simmons affiliated with any hospitals?

According to CMS data, Katrina Simmons is affiliated with Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Katrina Simmons was last updated on December 28, 2022. 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.