MRS. WENDY W SIMMONS PA
NPI 1609800556
Internal Medicine - Rheumatology in Wilmington, NC

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1710 S. 17TH ST., WILMINGTON, NC 28401(910) 762-1182(910) 332-1111 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Wendy W Simmons Pa NPPES

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

MRS. WENDY W SIMMONS PA (NPI 1609800556) is an individual rheumatology provider in Wilmington, North Carolina, licensed in North Carolina (101041) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1609800556
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMRS. WENDY W SIMMONSCredential: PA
Location Address1710 S. 17TH ST.Wilmington, NC 28401-6442
Mailing Address1710 S. 17th St.Wilmington, NC 28401-6442 · (910) 762-1182 · Fax (910) 332-1111
Fax(910) 332-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1609800556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NC · 101041
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPhysician AssistantTaxonomy 363A00000X · License MS0295635 (NC)
1710 S. 17TH ST., Wilmington, NC 28401

Other Identifiers 1

Other101041NC · Nc License

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

Mrs. Wendy W Simmons Pa 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 ID3870596422
PECOS Enrollment IDI20060821000274
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.

Areas of Expertise CMS Part B claims 35

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.

Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
43,890 services33 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
23,760 services236 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
883 services453 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
726 services428 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
626 services281 patients
Calcium level, total 82310
A total calcium level test measures the amount of calcium in your blood. Calcium is essential for body functions like bone formation, nerve signal transmission, and muscle contraction. Abnormal levels may indicate conditions like bone disease or kidney disorders.
588 services346 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Rheumatology)
1710 S. 17TH ST.
WILMINGTON, NC 28401
Internal Medicine (Rheumatology)
1710 S. 17TH ST.
WILMINGTON, NC 28401
Internal Medicine (Rheumatology)
1710 S. 17TH ST.
WILMINGTON, NC 28401
Internal Medicine (Rheumatology)
1710 S. 17TH ST.
WILMINGTON, NC 28401

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 Wendy Simmons's NPI number?

The NPI number for Wendy Simmons is 1609800556. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Wendy Simmons located?

Wendy Simmons practices at 1710 S. 17th St., Wilmington, NC 28401. The listed phone number is (910) 762-1182.

What is Wendy Simmons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Wendy Simmons enrolled in Medicare?

Yes. Wendy 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.

What insurance does Wendy Simmons accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Wendy 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 Wendy Simmons was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.