LORI SIMS CRNP
NPI 1417203167
Nurse Practitioner - Adult Health in Birmingham, AL

Active since July 31, 2012PECOS EnrolledAccepts Medicare Assignment
2000 6TH AVE SOUTH, BIRMINGHAM, AL 35249(205) 934-1813 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori Sims Crnp NPPES

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

LORI SIMS CRNP (NPI 1417203167) is an individual adult health provider in Birmingham, Alabama, licensed in Alabama (1-048370) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1417203167
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLORI SIMSCredential: CRNP
Location Address2000 6TH AVE SOUTHBirmingham, AL 35249-1900
Mailing Address619 19th St S, Spain Wallace Rm 965Birmingham, AL 35249-1900 · (205) 975-5595
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 31, 2012
Last NPPES UpdateJune 29, 2023
NPPES CertifiedMarch 24, 2021
NPI 1417203167 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 AL · 1-048370
2000 6TH AVE SOUTH, Birmingham, AL 35249

Secondary Practice Location 1

Location 12000 6th Ave SBirmingham, AL 35233-2110 · Phone (205) 934-1813

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

Lori Sims Crnp 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 ID4385880962
PECOS Enrollment IDI20210401001143
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Lori Sims's NPI number?

The NPI number for Lori Sims is 1417203167. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Lori Sims located?

Lori Sims practices at 2000 6th Ave South, Birmingham, AL 35249. The listed phone number is (205) 934-1813.

What is Lori Sims's specialty?

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

Is Lori Sims enrolled in Medicare?

Yes. Lori Sims 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 Lori Sims accept?

Health plans from Blue Cross and Blue Shield of Alabama list Lori Sims 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.

When was this NPI record last updated?

The NPPES record for Lori Sims was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.