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DONALD SIMMS-SYLVESTER
NPI 1679425987
Social Worker - Clinical in Lutz, FL

Active since February 10, 2026PECOS Enrolled
4216 CLOUD HOPPER WAY, LUTZ, FL 33559(863) 588-9201 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donald Simms-sylvester NPPES

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

DONALD SIMMS-SYLVESTER (NPI 1679425987) is an individual clinical provider in Lutz, Florida, licensed in Florida (25174) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2018).

NPPES Registry Identity

NPI1679425987
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDONALD SIMMS-SYLVESTER
Location Address4216 CLOUD HOPPER WAYLutz, FL 33559-6874
Mailing Address4216 Cloud Hopper WayLutz, FL 33559-6874
Phone(863) 588-9201
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2018
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1679425987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · 25174
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4216 CLOUD HOPPER WAY, Lutz, FL 33559
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald Simms-sylvester is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618444027
PECOS Enrollment IDI20260423000234
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 Donald Simms-sylvester reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ace Behavioral Health LLC
18 mi
Psychiatry
5406 HOOVER BLVD STE 18
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1841094885 (866) 770-4104
Citrus County Rural Health Inc
49 mi
Federally Qualified Health Center (FQHC)
927 N CITRUS AVE
Crystal River, FL 34428
  • Reassigned Medicare billing, Florida enrollment
  • 86 clinicians in this Medicare group
NPI 1740931831 (352) 565-7342
Coastal Community Health Services, Inc.
173 mi
Federally Qualified Health Center (FQHC)
22385 FLORA PARK CROSSING DRIVE
Fernandina Beach, FL 32034
  • Reassigned Medicare billing, Florida enrollment
  • 93 clinicians in this Medicare group
NPI 1851131874 (904) 404-8641

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 33559 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
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Donald Simms-sylvester's NPI number?

The NPI number for Donald Simms-sylvester is 1679425987. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Donald Simms-sylvester located?

Donald Simms-sylvester practices at 4216 Cloud Hopper Way, Lutz, FL 33559. The listed phone number is (863) 588-9201.

What is Donald Simms-sylvester's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Donald Simms-sylvester enrolled in Medicare?

Yes. Donald Simms-sylvester is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donald Simms-sylvester's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Simms-sylvester reassigns Medicare benefits to 3 organizations: Ace Behavioral Health LLC (Tampa, FL), Citrus County Rural Health Inc (Crystal River, FL) and Coastal Community Health Services, Inc. (Fernandina Beach, FL). 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 Donald Simms-sylvester's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Simms-sylvester accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Donald Simms-sylvester 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 Donald Simms-sylvester was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.