WILLIAM ANDREW SIMPSON FNP
NPI 1437574134
Nurse Practitioner - Family in Trenton, GA

Active since March 04, 2014PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
13570 N MAIN ST, TRENTON, GA 30752(706) 866-5520(706) 866-5512 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Andrew Simpson Fnp NPPES

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

WILLIAM ANDREW SIMPSON FNP (NPI 1437574134) is an individual family provider in Trenton, Georgia, licensed in Georgia (RN203796) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Chi Memorial Hospital- Georgia, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1437574134
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWILLIAM ANDREW SIMPSONCredential: FNP
Location Address13570 N MAIN STTrenton, GA 30752-2012
Mailing Address13570 N Main StTrenton, GA 30752-2012 · (706) 866-5520 · Fax (706) 866-5512
Fax(706) 866-5512
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 4, 2014
NPI 1437574134 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 GA · RN203796
13570 N MAIN ST, Trenton, GA 30752

Other Identifiers 4

Medicaid000211956AGA
Medicaid000211956CGA
Medicare OSCAR/certification111907GA
Medicare OSCAR/certification111815GA

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

William Andrew 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 ID1759505563
PECOS Enrollment IDI20230831004039
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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
330 services191 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
246 services165 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
141 services109 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
107 services74 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
104 services104 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services59 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110236
Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County
Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30752 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$61.46 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers34 claims34 services$194.02 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 20

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

Dentist
13570 N MAIN ST
TRENTON, GA 30752
Family Medicine
13570 N MAIN ST
TRENTON, GA 30752
Nurse Practitioner (Family)
13570 N MAIN ST
TRENTON, GA 30752
Dentist
13570 N MAIN ST
TRENTON, GA 30752
Nurse Practitioner (Family)
13570 N MAIN ST
TRENTON, GA 30752
Social Worker
13570 N MAIN ST
TRENTON, GA 30752
Nurse Practitioner (Family)
13570 N MAIN ST
TRENTON, GA 30752
Dietitian, Registered
13570 N MAIN ST
TRENTON, GA 30752

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 William Simpson's NPI number?

The NPI number for William Simpson is 1437574134. It was assigned to this individual provider in the NPPES registry on March 4, 2014.

Where is William Simpson located?

William Simpson practices at 13570 N Main St, Trenton, GA 30752. The listed phone number is (706) 866-5520.

What is William Simpson's specialty?

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

Is William Simpson enrolled in Medicare?

Yes. William 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 William Simpson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list William 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 William Simpson affiliated with any hospitals?

According to CMS data, William Simpson is affiliated with Chi Memorial Hospital- Georgia and Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for William Simpson was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.