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KAITLYN E SIMMONS DNP, FNP-BC, RN
NPI 1295442358
Nurse Practitioner in Springfield, PA

Active since October 28, 2022PECOS Enrolled
9 N BROOKSIDE RD, SPRINGFIELD, PA 19064(610) 543-5300 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaitlyn E Simmons Dnp, Fnp-bc, Rn NPPES

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

KAITLYN E SIMMONS DNP, FNP-BC, RN (NPI 1295442358) is an individual nurse practitioner in Springfield, Pennsylvania, licensed in Pennsylvania (RN676866) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295442358
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAITLYN E SIMMONSCredential: DNP, FNP-BC, RN
Location Address9 N BROOKSIDE RDSpringfield, PA 19064-2527
Mailing Address2307 W 17th StWilmington, DE 19806-1330 · (203) 444-2031
Phone(610) 543-5300
Sole ProprietorYes
Enumeration DateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
✔ NPI 1295442358 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 PA · RN676866
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.
9 N BROOKSIDE RD, Springfield, PA 19064
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn E Simmons Dnp, Fnp-bc, Rn 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 Kaitlyn Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Penn Medicine-Pma
14 mi
Pulmonary Disease
2650 EGYPT RD
Audubon, PA 19403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group
NPI 1013582840 (215) 662-6187

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 10

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.
131 services102 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.
51 services51 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.
40 services37 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services21 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 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19064 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 2

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

DANIEL S MARTIN MD
Family Medicine
9 N BROOKSIDE RD
SPRINGFIELD, PA 19064
Delaware County (610) 543-5300
ROBERT S SHUSMAN MD
Family Medicine
9 N BROOKSIDE RD
SPRINGFIELD, PA 19064
Delaware County (610) 543-5300

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 Kaitlyn Simmons's NPI number?

The NPI number for Kaitlyn Simmons is 1295442358. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Where is Kaitlyn Simmons located?

Kaitlyn Simmons practices at 9 N Brookside Rd, Springfield, PA 19064. The listed phone number is (610) 543-5300.

What is Kaitlyn Simmons's specialty?

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

Is Kaitlyn Simmons enrolled in Medicare?

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

Which organization bills Medicare for Kaitlyn Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Simmons reassigns Medicare benefits to Penn Medicine-Pma (Audubon, PA). 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 Kaitlyn Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaitlyn Simmons was last updated on October 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.