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MARY L SIMMONS APN
NPI 1386040905
Nurse Practitioner - Adult Health in Ridgewood, NJ

Active since November 10, 2014PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
29 RICHMOND AVE, RIDGEWOOD, NJ 07450(201) 251-9242 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary L Simmons Apn NPPES

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

MARY L SIMMONS APN (NPI 1386040905) is an individual adult health provider in Ridgewood, New Jersey, licensed in New Jersey (26NJ00515500) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386040905
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY L SIMMONSCredential: APN
Location Address29 RICHMOND AVERidgewood, NJ 07450-4224
Mailing Address29 Richmond AveRidgewood, NJ 07450-4224 · (201) 251-9242
Phone(201) 251-9242
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 10, 2014
✔ NPI 1386040905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00515500
29 RICHMOND AVE, Ridgewood, NJ 07450
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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

Mary L Simmons Apn 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 ID547587693
PECOS Enrollment IDI20150330000370
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

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
43 services11 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost40.07

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 Mary Simmons's NPI number?

The NPI number for Mary Simmons is 1386040905. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Mary Simmons located?

Mary Simmons practices at 29 Richmond Ave, Ridgewood, NJ 07450. The listed phone number is (201) 251-9242.

What is Mary Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Simmons enrolled in Medicare?

Yes. Mary Simmons 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.

Is Mary Simmons affiliated with any hospitals?

According to CMS data, Mary Simmons is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Mary Simmons was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.