WHITNEY DANIELLE SIMMONS FNP
NPI 1467721431
Nurse Practitioner - Family in Saint Joseph, MO

Active since December 21, 2011PECOS EnrolledAccepts Medicare Assignment
76.92/100
CMS Quality Rating
711 N 36TH ST, SAINT JOSEPH, MO 64506(816) 271-4022(816) 271-4020 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2017, May 19, 2016 (2 updates tracked since 2016).

About Whitney Danielle Simmons Fnp NPPES

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

WHITNEY DANIELLE SIMMONS FNP (NPI 1467721431) is an individual family provider in Saint Joseph, Missouri, licensed in Missouri (2011036794) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1467721431
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWHITNEY DANIELLE SIMMONSCredential: FNP
Location Address711 N 36TH STSaint Joseph, MO 64506-2977
Mailing Address711 N 36th StSaint Joseph, MO 64506-2977 · (816) 271-4022 · Fax (816) 271-4020
Fax(816) 271-4020
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 21, 2011
Last NPPES UpdateOctober 27, 20172 updates tracked since enumeration
NPI 1467721431 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 MO · 2011036794
711 N 36TH ST, Saint Joseph, MO 64506

Other Identifiers 2

Other70100012MO · Medicare Ptan
OtherP01099906MO · Medicare Railroad

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

Whitney Danielle Simmons 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 ID5698935914
PECOS Enrollment IDI20120323000532
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 4

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.
382 services171 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.
142 services107 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.
39 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64506 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

76.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.53
Promoting Interoperability100
Improvement Activities40
Cost56.53

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers26 claims70 services$5.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims11 services$1.03 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims50 services$2.50 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$27.56 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$41.16 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier14 claims14 services$13.18 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 7

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

Family Medicine
711 N 36TH ST
SAINT JOSEPH, MO 64506
Internal Medicine (Hospice and Palliative Medicine)
711 N 36TH ST
SAINT JOSEPH, MO 64506
Internal Medicine
711 N 36TH ST, STE A
SAINT JOSEPH, MO 64506
Pediatrics
711 N 36TH ST
SAINT JOSEPH, MO 64506
Urology
711 N 36TH ST
SAINT JOSEPH, MO 64506
Clinic/Center
711 N 36TH ST
SAINT JOSEPH, MO 64506
Nurse Practitioner (Family)
711 N 36TH ST
SAINT JOSEPH, MO 64506

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 Whitney Simmons's NPI number?

The NPI number for Whitney Simmons is 1467721431. It was assigned to this individual provider in the NPPES registry on December 21, 2011.

Where is Whitney Simmons located?

Whitney Simmons practices at 711 N 36th St, Saint Joseph, MO 64506. The listed phone number is (816) 271-4022.

What is Whitney Simmons's specialty?

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

Is Whitney Simmons enrolled in Medicare?

Yes. Whitney 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.

What insurance does Whitney Simmons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Whitney Simmons 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 Whitney Simmons affiliated with any hospitals?

According to CMS data, Whitney Simmons is affiliated with Mosaic Life Care At St Joseph.

When was this NPI record last updated?

The NPPES record for Whitney Simmons was last updated on October 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.