DR. KAMI SIMMONS NP
NPI 1518486018
Nurse Practitioner - Psychiatric/Mental Health in Otsego, MN

Q: What is Kami Simmons's NPI number?

The NPI number for Kami Simmons is 1518486018. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Q: What is Kami Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kami Simmons was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 15, 2017PECOS Enrolled

9245 QUANTRELLE AVE NE, OTSEGO, MN 55330(763) 746-9492(763) 746-3685 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2019, Dec 13, 2018, Sep 15, 2017 (3 updates tracked since 2017).

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About Dr. Kami Simmons Np NPPES

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

DR. KAMI SIMMONS NP (NPI 1518486018) is an individual psychiatric/mental health provider in Otsego, Minnesota, licensed in Arizona (10886) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1518486018

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. KAMI SIMMONSCredential: NP

Location Address9245 QUANTRELLE AVE NEOtsego, MN 55330-0168

Mailing Address1900 Silver Lake Rd NwNew Brighton, MN 55112-1786 · (651) 628-9566 · Fax (651) 628-0411

Phone(763) 746-9492

Fax(763) 746-3685

Sole ProprietorYes

Enumeration DateSeptember 15, 2017

Last NPPES UpdateJanuary 17, 20193 updates tracked since enumeration

✔ NPI 1518486018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in AZ · 10886✔ Licensed in CT · 7236✔ Licensed in DC · 1048342✔ Licensed in FL · 9309830✔ Licensed in MN · 6295

9245 QUANTRELLE AVE NE, Otsego, MN 55330

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Secondary Practice Location 1

Location 111201 N Tatum Blvd # 300-131Phoenix, AZ 85028-6036 · Phone (888) 432-5558

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Plan, Inc. 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)

Dr. Kami Simmons Np 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

Medicare enrollment records show Kami Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Intervention Assciates, Inc

1,290 mi

Community/Behavioral Health

1701 NORTH DOUGLASAVE
Douglas, AZ 85607

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Community Intervention Associates Inc.
34 clinicians in this Medicare group

NPI 1245523364 (520) 727-7091

Mindful Therapy Group PC

1,374 mi

Clinical

6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043

Reassigned Medicare billing, Washington enrollment
777 clinicians in this Medicare group

NPI 1316238678 (425) 640-7009

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 55330 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

MIKKI K MASON LMFT, LADC

Marriage & Family Therapist