MS. TIFFANY G SIMONS NP
NPI 1578653697
Nurse Practitioner - Adult Health in Fredericksburg, VA

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
1101 SAM PERRY BLVD, SUITE 211, FREDERICKSBURG, VA 22401(540) 373-2244(540) 371-4849 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Tiffany G Simons Np NPPES

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

MS. TIFFANY G SIMONS NP (NPI 1578653697) is an individual adult health provider in Fredericksburg, Virginia, licensed in Virginia (0024165413) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1578653697
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. TIFFANY G SIMONSCredential: NP
Location Address1101 SAM PERRY BLVD, SUITE 211Fredericksburg, VA 22401-4467
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844
Fax(540) 371-4849
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 13, 2006
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1578653697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in VA · 0024165413
1101 SAM PERRY BLVD, Fredericksburg, VA 22401

Secondary Practice Locations 4

Location 11250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 560-8965 · Fax (804) 560-7349
Location 21001 E Leigh StRichmond, VA 23298-5004 · Phone (804) 828-7748 · Fax (804) 827-0285
Location 39000 Stony Point PkwyRichmond, VA 23235-1900 · Phone (804) 560-8965 · Fax (804) 560-7349
Location 49109 Stony Point DrRichmond, VA 23235-1979 · Phone (804) 327-2001 · Fax (804) 327-8002

Accepted Insurance

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

Ms. Tiffany G Simons Np 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 ID4486669835
PECOS Enrollment IDI20060207000484
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 Tiffany Simons reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 547 clinicians in this Medicare group
Hospitalist
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 323 clinicians in this Medicare group
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
382 services354 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Psychiatry & Neurology (Neurology)
1101 SAM PERRY BLVD, SUITE 414
FREDERICKSBURG, VA 22401
Physician Assistant (Surgical)
1101 SAM PERRY BLVD, #211
FREDERICKSBURG, VA 22401
Nurse Practitioner (Gerontology)
1101 SAM PERRY BLVD, SUITE 211
FREDERICKSBURG, VA 22401
Nurse Practitioner (Acute Care)
1101 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1101 SAM PERRY BLVD, SUITE 305
FREDERICKSBURG, VA 22401
Obstetrics & Gynecology
1101 SAM PERRY BLVD, SUITE 401
FREDERICKSBURG, VA 22401
Registered Nurse (Registered Nurse First Assistant)
1101 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Neurological Surgery
1101 SAM PERRY BLVD, SUITE 321
FREDERICKSBURG, VA 22401

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 Tiffany Simons's NPI number?

The NPI number for Tiffany Simons is 1578653697. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Tiffany Simons located?

Tiffany Simons practices at 1101 Sam Perry Blvd Suite 211, Fredericksburg, VA 22401. The listed phone number is (540) 373-2244.

What is Tiffany Simons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tiffany Simons enrolled in Medicare?

Yes. Tiffany Simons 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 Tiffany Simons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Simons reassigns Medicare benefits to 3 organizations: Mary Washington Healthcare Physicians (Fredericksburg, VA), Mary Washington Healthcare Providers LLC (Fredericksburg, VA) and Mcv Associated Physicians (Richmond, VA). 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 Tiffany Simons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Simons accept?

Health plans from Oscar Health list Tiffany Simons 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.

Is Tiffany Simons affiliated with any hospitals?

According to CMS data, Tiffany Simons is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for Tiffany Simons was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.