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MARION JOHANNA SIMPSON APRN
NPI 1487009080
Nurse Practitioner in Lexington, KY

Active since May 02, 2016PECOS Enrolled
166 PASADENA DR STE 150, LEXINGTON, KY 40503(859) 276-1452(859) 277-1237 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2019, Oct 11, 2019, Mar 7, 2019 and 2 more (5 updates tracked since 2016).

About Marion Johanna Simpson Aprn NPPES

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

MARION JOHANNA SIMPSON APRN (NPI 1487009080) is an individual nurse practitioner in Lexington, Kentucky, licensed in Kentucky (3010755) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487009080
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARION JOHANNA SIMPSONCredential: APRN
Location Address166 PASADENA DR STE 150Lexington, KY 40503-2938
Mailing AddressPo Box 603725Charlotte, NC 28260-3725 · (828) 575-2625 · Fax (828) 350-2174
Phone(859) 276-1452
Fax(859) 277-1237
Sole ProprietorNo
Enumeration DateMay 2, 2016
Last NPPES UpdateNovember 4, 20195 updates tracked since enumeration
✔ NPI 1487009080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3010755
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3010755 (KY)
166 PASADENA DR STE 150, Lexington, KY 40503
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Other Names 1

Former Name (1)Marion Johanna Reid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marion Johanna Simpson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

4

Medicare enrollment records show Marion Simpson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inpatientcare PLLC
4.4 mi
Internal Medicine
3050 RIO DOSA DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
NPI 1821358201 (859) 269-8385
Brock Medical, LLC
66 mi
Nurse Practitioner
1752 HIGHWAY 192 W, SUITE 1
London, KY 40741
  • Reassigned Medicare billing, Kentucky enrollment
  • 362 clinicians in this Medicare group
NPI 1023379815 (606) 330-0055
Fast Pace Kentucky PLLC
144 mi
Family
1475 NASHVILLE RD
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky enrollment
  • 427 clinicians in this Medicare group
NPI 1457716706 (270) 813-1111
Signify Health, LLC
777 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$919.75 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 2

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

DR. AMY B MASHBURN MD
Allergy & Immunology
166 PASADENA DR STE 150
LEXINGTON, KY 40503
Fayette County (859) 276-1452
KELLEY M. HAWKINS ARNP
Nurse Practitioner
166 PASADENA DR STE 150
LEXINGTON, KY 40503
Fayette County (859) 276-1452

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 Marion Simpson's NPI number?

The NPI number for Marion Simpson is 1487009080. It was assigned to this individual provider in the NPPES registry on May 2, 2016. The provider is also known as Marion Johanna Reid.

Where is Marion Simpson located?

Marion Simpson practices at 166 Pasadena Dr Ste 150, Lexington, KY 40503. The listed phone number is (859) 276-1452.

What is Marion Simpson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marion Simpson enrolled in Medicare?

Yes. Marion Simpson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marion Simpson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marion Simpson reassigns Medicare benefits to 4 organizations: Inpatientcare PLLC (Lexington, KY), Brock Medical, LLC (London, KY), Fast Pace Kentucky PLLC (Franklin, KY) and Signify Health, LLC (Dallas, TX). 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 Marion Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marion Simpson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Marion 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.

When was this NPI record last updated?

The NPPES record for Marion Simpson was last updated on November 4, 2019. 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.