Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIQIN LUO SIMMONS
NPI 1578128443
Nurse Practitioner in Salt Lake City, UT

Active since May 07, 2019PECOS Enrolled
5770 S 1500 W, SALT LAKE CITY, UT 84123(801) 265-3412 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Jun 9, 2025, Jan 15, 2021 and 1 more (4 updates tracked since 2019).

About Siqin Luo Simmons NPPES

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

SIQIN LUO SIMMONS (NPI 1578128443) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (8698377-4405) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578128443
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSIQIN LUO SIMMONS
Location Address5770 S 1500 WSalt Lake City, UT 84123-5216
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 369-8989 · Fax (801) 704-9741
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateOctober 1, 20264 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1578128443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 8698377-4405
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 8698377-4405 (UT)
5770 S 1500 W, Salt Lake City, UT 84123

Secondary Practice Locations 2

Location 15882 S 900 E Ste 203Murray, UT 84121-1662 · Phone (385) 424-5625
Location 21875 S Redwood RdSalt Lake City, UT 84104-5112 · Phone (801) 363-9414

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siqin Luo Simmons 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

3

Medicare enrollment records show Siqin Simmons reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adolescent and Children Mental Health
5770 S 1500 W, BLDG C
Salt Lake City, UT 84123
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
Community/Behavioral Health
4376 S 700 E STE 200
Salt Lake City, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 22 clinicians in this Medicare group
Psychiatry
672 W 400 S STE 201
Springville, UT 84663
  • Reassigned Medicare billing, Utah enrollment
  • 63 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84123 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Clinic/Center (Mental Health (Including Community Mental Health Center))
5770 S 1500 W
TAYLORSVILLE, UT 84123
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
SALT LAKE CITY, UT 84123
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Social Worker (Clinical)
5770 S 1500 W
SALT LAKE CITY, UT 84123

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 Siqin Simmons's NPI number?

The NPI number for Siqin Simmons is 1578128443. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Siqin Simmons located?

Siqin Simmons practices at 5770 S 1500 W, Salt Lake City, UT 84123. The listed phone number is (801) 265-3412.

What is Siqin Simmons's specialty?

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

Is Siqin Simmons enrolled in Medicare?

Yes. Siqin Simmons is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Siqin Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siqin Simmons reassigns Medicare benefits to 3 organizations: Ihc Health Services Inc (Salt Lake City, UT), Lotus Center Inc (Salt Lake City, UT) and Numinus Wellness Ut Inc (Springville, UT). 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 Siqin Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Siqin Simmons accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Siqin 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 Siqin Simmons was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.