MICHAEL SIMPSON APRN
NPI 1376135624
Nurse Practitioner - Family in Worcester, MA

Active since February 08, 2021PECOS EnrolledAccepts Medicare Assignment
89.75/100
CMS Quality Rating
5 NEPONSET ST, WORCESTER, MA 01606(508) 425-5566(508) 365-6590 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2026, Mar 4, 2022, Jul 12, 2021 and 1 more (4 updates tracked since 2021).

About Michael Simpson Aprn NPPES

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

MICHAEL SIMPSON APRN (NPI 1376135624) is an individual family provider in Worcester, Massachusetts, licensed in Massachusetts (085497-23) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of University Of Oklahoma College Of Medicine (2021).

NPPES Registry Identity

NPI1376135624
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL SIMPSONCredential: APRN
Location Address5 NEPONSET STWorcester, MA 01606-2714
Mailing Address5 Neponset StWorcester, MA 01606-2714 · (508) 425-5566 · Fax (508) 365-6590
Fax(508) 365-6590
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2021
Enumeration DateFebruary 8, 2021
Last NPPES UpdateJanuary 2, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
NPI 1376135624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · 085497-23
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 085497-21 (NH), R0132846 (OK)
5 NEPONSET ST, Worcester, MA 01606

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

Michael Simpson Aprn 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 ID6002294121
PECOS Enrollment IDI20220602000178, I20260130001492
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.

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

89.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.37
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Family Medicine
5 NEPONSET ST
WORCESTER, MA 01606
Nurse Practitioner (Family)
5 NEPONSET ST
WORCESTER, MA 01606
Optometrist
5 NEPONSET ST
WORCESTER, MA 01606
Physician Assistant
5 NEPONSET ST
WORCESTER, MA 01606
Nutritionist
5 NEPONSET ST
WORCESTER, MA 01606
Psychologist
5 NEPONSET ST
WORCESTER, MA 01606

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 Michael Simpson's NPI number?

The NPI number for Michael Simpson is 1376135624. It was assigned to this individual provider in the NPPES registry on February 8, 2021.

Where is Michael Simpson located?

Michael Simpson practices at 5 Neponset St, Worcester, MA 01606. The listed phone number is (508) 425-5566.

What is Michael Simpson's specialty?

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

Is Michael Simpson enrolled in Medicare?

Yes. Michael 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 Michael Simpson accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Michael 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 Michael Simpson affiliated with any hospitals?

According to CMS data, Michael Simpson is affiliated with Mary Hitchcock Memorial Hospital and New London Hospital.

When was this NPI record last updated?

The NPPES record for Michael Simpson was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.