ANDREA GAYLE SIMONS FNP
NPI 1609655927
Nurse Practitioner - Family in Logan, UT

Active since September 26, 2023PECOS EnrolledAccepts Medicare Assignment
630 E 1400 N STE 150, LOGAN, UT 84341(435) 915-4465 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Gayle Simons Fnp NPPES

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

ANDREA GAYLE SIMONS FNP (NPI 1609655927) is an individual family provider in Logan, Utah, licensed in Utah (5680277-4405) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Burley, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609655927
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA GAYLE SIMONSCredential: FNP
Location Address630 E 1400 N STE 150Logan, UT 84341-2549
Mailing Address463 S Center StHyrum, UT 84319-1606 · (435) 764-5289
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1609655927 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 UT · 5680277-4405
630 E 1400 N STE 150, Logan, UT 84341

Secondary Practice Location 1

Location 11404 Pomerelle Ave # 150Burley, ID 83318-2012 · Phone (208) 878-8783

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea Gayle Simons Fnp 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 ID8527418821
PECOS Enrollment IDI20231228003678
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 84341 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341
Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Physician Assistant
630 E 1400 N STE 150
LOGAN, UT 84341
Physician Assistant
630 E 1400 N STE 150
LOGAN, UT 84341
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341
Internal Medicine (Nephrology)
630 E 1400 N STE 150
LOGAN, UT 84341
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341

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 Andrea Simons's NPI number?

The NPI number for Andrea Simons is 1609655927. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Andrea Simons located?

Andrea Simons practices at 630 E 1400 N Ste 150, Logan, UT 84341. The listed phone number is (435) 915-4465.

What is Andrea Simons's specialty?

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

Is Andrea Simons enrolled in Medicare?

Yes. Andrea 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.

What insurance does Andrea Simons accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Andrea 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.

When was this NPI record last updated?

The NPPES record for Andrea Simons was last updated on September 26, 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.