KATIE RUTH SIMPSON FNP
NPI 1336805662
Nurse Practitioner - Family in Middlesboro, KY

Active since November 10, 2021PECOS EnrolledAccepts Medicare Assignment
70.91/100
CMS Quality Rating
235 NEW WILSON LN, MIDDLESBORO, KY 40965(731) 394-1145 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katie Ruth Simpson Fnp NPPES

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

KATIE RUTH SIMPSON FNP (NPI 1336805662) is an individual family provider in Middlesboro, Kentucky, licensed in Kentucky (3016914) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336805662
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATIE RUTH SIMPSONCredential: FNP
Location Address235 NEW WILSON LNMiddlesboro, KY 40965-2705
Mailing Address830 Pine Hill RdTazewell, TN 37879-5620 · (423) 441-0089
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 10, 2021
Last NPPES UpdateJune 22, 2022
NPPES CertifiedJune 22, 2022
NPI 1336805662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in KY · 3016914 Licensed in TN · 30450
235 NEW WILSON LN, Middlesboro, KY 40965

Accepted 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

Katie Ruth Simpson Fnp 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 ID7113310079
PECOS Enrollment IDI20220217000834, I20250829004603
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.

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
41 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.01
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$30.67 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$12.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Speech-Language Pathologist
235 NEW WILSON LN
MIDDLESBORO, KY 40965
Speech-Language Pathologist
235 NEW WILSON LN
MIDDLESBORO, KY 40965
Skilled Nursing Facility
235 NEW WILSON LN
MIDDLESBORO, KY 40965
Skilled Nursing Facility
235 NEW WILSON LN
MIDDLESBORO, KY 40965

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 Katie Simpson's NPI number?

The NPI number for Katie Simpson is 1336805662. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Katie Simpson located?

Katie Simpson practices at 235 New Wilson Ln, Middlesboro, KY 40965. The listed phone number is (731) 394-1145.

What is Katie Simpson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katie Simpson enrolled in Medicare?

Yes. Katie Simpson 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 Katie Simpson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Katie Simpson 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 Katie Simpson affiliated with any hospitals?

According to CMS data, Katie Simpson is affiliated with Middlesboro Arh Hospital and Hazard Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Katie Simpson was last updated on June 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.