ANDREA NICOLE SIMMONS CRNP
NPI 1477100584
Nurse Practitioner - Acute Care in Birmingham, AL
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, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Andrea Simmons reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alabaster, AL 35007
- Reassigned Medicare billing, Alabama enrollment
- 32 clinicians in this Medicare group
Talladega, AL 35160
- Reassigned Medicare billing, Alabama enrollment
- 430 clinicians in this Medicare group
Montgomery, AL 36116
- Reassigned Medicare billing, Alabama enrollment
- 10 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.
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.
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.
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.
Reported Quality Measures
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.
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
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.
Which organizations bill Medicare for Andrea Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Simmons reassigns Medicare benefits to 3 organizations: Heart South Cardiovascular Group, P.C. (Alabaster, AL), Baptist Health Centers, LLC (Talladega, AL) and Southeastern Cardiology Consultants (Montgomery, AL). Each 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 Andrea Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Simmons accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company 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.