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MICHELLE LEIGH SIMMONS APN
NPI 1578155107
Nurse Practitioner - Family in Edison, NJ

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment
26 MAIN ST, EDISON, NJ 08837(609) 521-4746(856) 250-1812 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michelle Leigh Simmons Apn NPPES

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

MICHELLE LEIGH SIMMONS APN (NPI 1578155107) is an individual family provider in Edison, New Jersey, licensed in New Jersey (26NJ01100900) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1578155107
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LEIGH SIMMONSCredential: APN
Location Address26 MAIN STEdison, NJ 08837-3418
Mailing Address684 Nottingham DrVineland, NJ 08360-4335 · (856) 842-2127
Phone(609) 521-4746
Fax(856) 250-1812
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 4, 2021
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1578155107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ01100900
26 MAIN ST, Edison, NJ 08837
Open in Google Maps ↗

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

Michelle Leigh Simmons Apn 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.

PECOS PAC ID2466825138
PECOS Enrollment IDI20230228000340
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

2

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

Patient Care Medical Group PC
63 mi
Geriatric Medicine
467 COOPER ST
Woodbury, NJ 08096
  • Reassigned Medicare billing, New Jersey enrollment
  • 70 clinicians in this Medicare group
NPI 1891362364 (609) 385-2622
State Of New Jersey Omb Centralized Payroll
64 mi
Psychiatric Hospital
301 SPRING GARDEN RD
Hammonton, NJ 08037
  • Reassigned Medicare billing, New Jersey enrollment
  • 62 clinicians in this Medicare group
NPI 1629155502 (609) 561-1700

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
636 services158 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
143 services63 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
142 services33 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
78 services20 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
45 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08837 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

PATIENT CARE MEDICAL GROUP NEW YORK LLC
Family Medicine
26 MAIN ST
EDISON, NJ 08837
Middlesex County (609) 521-4746
MANPREET KAUR FNP-C
Nurse Practitioner (Family)
26 MAIN ST
EDISON, NJ 08837
Middlesex County (732) 925-9367
PATIENT CARE MEDICAL GROUP TEXAS LLC
Family Medicine
26 MAIN ST
EDISON, NJ 08837
Middlesex County (609) 521-4746
KEREN KHAWAJA FNP-BC
Nurse Practitioner
26 MAIN ST
EDISON, NJ 08837
Middlesex County (732) 582-0400
PATIENT CARE MEDICAL GROUP VIRGINIA LLC
Family Medicine
26 MAIN ST
EDISON, NJ 08837
Middlesex County (609) 521-4746
YUSYUAN SYU PA-C
Physician Assistant (Medical)
26 MAIN ST
EDISON, NJ 08837
Middlesex County (609) 521-4746
PATIENT CARE SPECIALTY GROUP DELAWARE LLC
Physical Therapist
26 MAIN ST
EDISON, NJ 08837
Middlesex County (609) 521-4746
PATIENT CARE MEDICAL GROUP NEVADA LLC
Family Medicine
26 MAIN ST
EDISON, NJ 08837
Middlesex County (609) 521-4746

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 Michelle Simmons's NPI number?

The NPI number for Michelle Simmons is 1578155107. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Michelle Simmons located?

Michelle Simmons practices at 26 Main St, Edison, NJ 08837. The listed phone number is (609) 521-4746.

What is Michelle Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Simmons enrolled in Medicare?

Yes. Michelle 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 Michelle Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Simmons reassigns Medicare benefits to 2 organizations: Patient Care Medical Group PC (Woodbury, NJ) and State Of New Jersey Omb Centralized Payroll (Hammonton, NJ). 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 Michelle Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Simmons was last updated on December 20, 2023. 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.