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ANDREA NICOLE SIMMONS CRNP
NPI 1477100584
Nurse Practitioner - Acute Care in Birmingham, AL

Active since August 22, 2019PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
3980 COLONNADE PKWY, BIRMINGHAM, AL 35243(205) 510-5000 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2020, Aug 22, 2019 (2 updates tracked since 2019).

About Andrea Nicole Simmons Crnp NPPES

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

ANDREA NICOLE SIMMONS CRNP (NPI 1477100584) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-105519) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477100584
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameANDREA NICOLE SIMMONSCredential: CRNP
Location Address3980 COLONNADE PKWYBirmingham, AL 35243-2382
Mailing AddressPo Box 11407Birmingham, AL 35202-1407
Phone(205) 510-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 22, 2019
Last NPPES UpdateMarch 26, 20242 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1477100584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-105519
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1-105519 (AL)
3980 COLONNADE PKWY, Birmingham, AL 35243
Open in Google Maps ↗

Other Names 1

Former Name (1)Andrea Nicole Thomas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Andrea Nicole Simmons 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 ID6002237328
PECOS Enrollment IDI20200521002997
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 3

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 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.
201 services187 patients
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.
66 services63 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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.

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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost78.58

Reported Quality Measures

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 54% · 24 patients
50%24 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. LEAH YORK RICHARDSON
Nurse Practitioner (Acute Care)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Jefferson County (256) 283-9050
HANNAH MILLER CRNP
Nurse Practitioner (Family)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Jefferson County (205) 510-5000
PEYTON MOSLEY
Registered Nurse
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Jefferson County (205) 510-5000
DR. DALE SCOTT KIRBY JR. MD
Internal Medicine (Clinical Cardiac Electrophysiology)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Jefferson County (205) 510-5000
JOYCE RENE KOPPANG MD
Internal Medicine (Cardiovascular Disease)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Jefferson County (205) 510-5000
MRS. FRANCES SHEFFIELD FNP-C
Nurse Practitioner
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Jefferson County (205) 795-5390
STEPHEN E BAKIR MD
Internal Medicine (Cardiovascular Disease)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Jefferson County (205) 510-5000
TONJA DEANN HAGAMAKER CRNP
Nurse Practitioner (Family)
3980 COLONNADE PKWY
BIRMINGHAM, AL 35243
Jefferson County (205) 510-5000

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 Andrea Simmons's NPI number?

The NPI number for Andrea Simmons is 1477100584. It was assigned to this individual provider in the NPPES registry on August 22, 2019. The provider is also known as Andrea Nicole Thomas.

Where is Andrea Simmons located?

Andrea Simmons practices at 3980 Colonnade Pkwy, Birmingham, AL 35243. The listed phone number is (205) 510-5000.

What is Andrea Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Andrea Simmons enrolled in Medicare?

Yes. Andrea 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 Andrea Simmons accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Andrea 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.

When was this NPI record last updated?

The NPPES record for Andrea Simmons was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.