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AMY SIMMONS FNP-C
NPI 1366953143
Nurse Practitioner - Family in Mesa, AZ

Active since October 19, 2017PECOS Enrolled
1060 E SOUTHERN AVE STE 106, MESA, AZ 85204(480) 870-7400(480) 906-2174 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2024, Dec 11, 2018, Oct 19, 2017 (3 updates tracked since 2017).

About Amy Simmons Fnp-c NPPES

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

AMY SIMMONS FNP-C (NPI 1366953143) is an individual family provider in Mesa, Arizona, licensed in Arizona (AP10607) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gold Canyon.

NPPES Registry Identity

NPI1366953143
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY SIMMONSCredential: FNP-C
Location Address1060 E SOUTHERN AVE STE 106Mesa, AZ 85204-5058
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151 · Fax (480) 304-3239
Phone(480) 870-7400
Fax(480) 906-2174
Sole ProprietorNo
Enumeration DateOctober 19, 2017
Last NPPES UpdateJune 22, 20263 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1366953143 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
License✔ Licensed in AZ · AP10607
1060 E SOUTHERN AVE STE 106, Mesa, AZ 85204
Open in Google Maps ↗

Secondary Practice Location 1

Location 16724 S Kings Ranch Rd Ste 102Gold Canyon, AZ 85118-2963 · Phone (480) 626-4999 · Fax (480) 304-3239

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Simmons Fnp-c 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 Reassignments

2

Medicare enrollment records show Amy Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Archwell Health Professional Services Of Arizona, LLC
4.3 mi
Internal Medicine
4315 E MAIN ST
Mesa, AZ 85205
  • Reassigned Medicare billing, Arizona enrollment
  • 110 clinicians in this Medicare group
NPI 1558026880 (480) 870-7500
Gold Canyon Internal Medicine
20 mi
Internal Medicine
6724 S KINGS RANCH RD STE 102
Gold Canyon, AZ 85118
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1417112541 (480) 626-4999

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 85204 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

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

MICHAEL JAMES PORTER PA-C
Physician Assistant (Medical)
1060 E SOUTHERN AVE STE 106
MESA, AZ 85204
Maricopa County (480) 870-7400
DR. CASSIDY ELIZABETH PATTIK M.D.
Internal Medicine
1060 E SOUTHERN AVE STE 106
MESA, AZ 85204
Maricopa County (480) 870-7400
MS. MONICA C REYES RN
Nurse Practitioner (Gerontology)
1060 E SOUTHERN AVE STE 106
MESA, AZ 85204
Maricopa County (808) 707-4004
DR. CUAUHTEMOC GALLARDO-PRADO M.D.
Family Medicine
1060 E SOUTHERN AVE STE 106
MESA, AZ 85204
Maricopa County (480) 870-7400
LEIGH ANNE COSTANZO
Family Medicine
1060 E SOUTHERN AVE STE 106
MESA, AZ 85204
Maricopa County (480) 610-7100

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 Amy Simmons's NPI number?

The NPI number for Amy Simmons is 1366953143. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Amy Simmons located?

Amy Simmons practices at 1060 E Southern Ave Ste 106, Mesa, AZ 85204. The listed phone number is (480) 870-7400.

What is Amy Simmons's specialty?

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

Is Amy Simmons enrolled in Medicare?

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

Which organizations bill Medicare for Amy Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Simmons reassigns Medicare benefits to 2 organizations: Archwell Health Professional Services Of Arizona, LLC (Mesa, AZ) and Gold Canyon Internal Medicine (Gold Canyon, AZ). 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 Amy 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 Amy Simmons was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.