SONYA SIMMS WHCNP
NPI 1275787582
Nurse Practitioner - Women's Health in Galveston, TX
About Sonya Simms Whcnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONYA SIMMS WHCNP (NPI 1275787582) is an individual women's health provider in Galveston, Texas, licensed in Texas (644254) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Sonya Simms Whcnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sonya Simms reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Galveston, TX 77555
- Reassigned Medicare billing, Texas enrollment
- 2,222 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77555 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GALVESTON, TX 77555
GALVESTON, TX 77555
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 Sonya Simms's NPI number?
The NPI number for Sonya Simms is 1275787582. It was assigned to this individual provider in the NPPES registry on November 13, 2008.
Where is Sonya Simms located?
Sonya Simms practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 772-2222.
What is Sonya Simms's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Sonya Simms enrolled in Medicare?
Yes. Sonya Simms 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 organizations bill Medicare for Sonya Simms's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonya Simms reassigns Medicare benefits to 2 organizations: Utmb Faculty Group Practice (Galveston, TX) and Texas Children's Physician Group (Houston, TX). Each 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 Sonya Simms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sonya Simms accept?
Health plans from Moda Health Plan, Inc. list Sonya Simms 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 Sonya Simms was last updated on March 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Sonya Simms, WHCNP · NPI 1275787582
Women's Health physician in Galveston, Texas. Individual provider, active in the CMS NPPES registry since November 13, 2008.
## Identity
- **NPI:** 1275787582 (Entity type: Individual)
- **Enumerated:** November 13, 2008
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 644254 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 UNIVERSITY BLVD, Galveston, TX 77555-5302
- **Phone:** (409) 772-2222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Utmb Faculty Group Practice (NPI 1942241146, Galveston, TX); Texas Children's Physician Group (NPI 1861675506, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** March 2, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1275787582) · Data from the CMS NPPES public registry.