MS. KATHLEEN H SIMS NP
NPI 1558322628
Nurse Practitioner - Acute Care in Worcester, MA

Active since March 29, 2006PECOS Enrolled
58.96/100
CMS Quality Rating
55 LAKE AVE N, WORCESTER, MA 01655(774) 254-0072 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2020, Oct 19, 2018 (2 updates tracked since 2018).

About Ms. Kathleen H Sims Np NPPES

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

MS. KATHLEEN H SIMS NP (NPI 1558322628) is an individual acute care provider in Worcester, Massachusetts, licensed in Massachusetts (RN156182) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558322628
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. KATHLEEN H SIMSCredential: NP
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-0001
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1558322628 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 MA · RN156182
Also ListedNurse PractitionerTaxonomy 363L00000X · License 156182 (MA)
55 LAKE AVE N, Worcester, MA 01655

Other Identifiers 2

Medicaid0703133MA
Medicaid110024833AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Kathleen H Sims 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

58.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality17.89
Promoting Interoperability100
Improvement Activities20
Cost57.41

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Kathleen Sims's NPI number?

The NPI number for Kathleen Sims is 1558322628. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Kathleen Sims located?

Kathleen Sims practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 254-0072.

What is Kathleen Sims's specialty?

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

Is Kathleen Sims enrolled in Medicare?

Yes. Kathleen Sims is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Sims was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.