RAQUEL SIMMONS NP-C
NPI 1467070557
Nurse Practitioner - Family in Macon, GA

Active since July 06, 2020PECOS Enrolled
670 IVY BROOK WAY, MACON, GA 31210(478) 737-8057 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Raquel Simmons Np-c NPPES

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

RAQUEL SIMMONS NP-C (NPI 1467070557) is an individual family provider in Macon, Georgia, licensed in Georgia (RN170852) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467070557
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAQUEL SIMMONSCredential: NP-C
Location Address670 IVY BROOK WAYMacon, GA 31210-5520
Mailing Address670 Ivy Brook WayMacon, GA 31210-5520 · (478) 737-8057
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
✔ NPI 1467070557 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 · RN170852
670 IVY BROOK WAY, Macon, GA 31210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raquel Simmons Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668950759
PECOS Enrollment IDI20260129004302
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 Reassignment

Medicare enrollment records show Raquel Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 274 clinicians in this Medicare group

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 31210 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.

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 Raquel Simmons's NPI number?

The NPI number for Raquel Simmons is 1467070557. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Raquel Simmons located?

Raquel Simmons practices at 670 Ivy Brook Way, Macon, GA 31210. The listed phone number is (478) 737-8057.

What is Raquel Simmons's specialty?

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

Is Raquel Simmons enrolled in Medicare?

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

Which organization bills Medicare for Raquel Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Simmons reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). The 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 Raquel 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 Raquel Simmons was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.