MR. EARL SIMPKINS IV CNP
NPI 1316455942
Anesthesiology - Critical Care Medicine in Toledo, OH
About Mr. Earl Simpkins Iv Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EARL SIMPKINS IV CNP (NPI 1316455942) is an individual critical care medicine provider in Toledo, Ohio, licensed in Ohio (207LC0200X) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Earl Simpkins Iv Cnp 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 Reassignment
Medicare enrollment records show Earl Simpkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 1,072 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Promedica Toledo Hospital
Acute Care Hospitals · Toledo, OHOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOLEDO, OH 43606
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 Earl Simpkins's NPI number?
The NPI number for Earl Simpkins is 1316455942. It was assigned to this individual provider in the NPPES registry on January 17, 2018.
Where is Earl Simpkins located?
Earl Simpkins practices at 2142 N Cove Blvd, Toledo, OH 43606. The listed phone number is (419) 291-4000.
What is Earl Simpkins's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.
Is Earl Simpkins enrolled in Medicare?
Yes. Earl Simpkins 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 organization bills Medicare for Earl Simpkins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Earl Simpkins reassigns Medicare benefits to Promedica Central Physicians (Toledo, OH). 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 Earl Simpkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Earl Simpkins accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Earl Simpkins 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 Earl Simpkins affiliated with any hospitals?
According to CMS data, Earl Simpkins is affiliated with Promedica Toledo Hospital.
When was this NPI record last updated?
The NPPES record for Earl Simpkins was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Earl Simpkins IV, CNP · NPI 1316455942
Critical Care Medicine physician in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since January 17, 2018.
## Identity
- **NPI:** 1316455942 (Entity type: Individual)
- **Enumerated:** January 17, 2018
- **Primary specialty:** Anesthesiology - Critical Care Medicine · taxonomy 207LC0200X
- **State license:** 207LC0200X (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2142 N COVE BLVD, Toledo, OH 43606-3895
- **Phone:** (419) 291-4000
## 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:** Promedica Central Physicians (NPI 1043270150, Toledo, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316455942) · Data from the CMS NPPES public registry.