Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SHONTAY LATRESE SIMMONS PMHNP-BC
NPI 1710842992
Nurse Practitioner - Psychiatric/Mental Health in Benton Harbor, MI

Q: What is Shontay Simmons's NPI number?

The NPI number for Shontay Simmons is 1710842992. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Q: What is Shontay Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shontay Simmons was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.

Active since December 19, 2025PECOS Enrolled

1485 M 139, BENTON HARBOR, MI 49022(269) 925-0585 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 8, 2026, Dec 19, 2025 (2 updates tracked since 2025).

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About Mrs. Shontay Latrese Simmons Pmhnp-bc NPPES

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

MRS. SHONTAY LATRESE SIMMONS PMHNP-BC (NPI 1710842992) is an individual psychiatric/mental health provider in Benton Harbor, Michigan, licensed in Michigan (4704308911) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710842992

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. SHONTAY LATRESE SIMMONSCredential: PMHNP-BC

Location Address1485 M 139Benton Harbor, MI 49022-5711

Mailing Address223 S 13th StSaginaw, MI 48601-1837 · (989) 714-7299

Phone(269) 925-0585

Sole ProprietorNo

Enumeration DateDecember 19, 2025

Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1710842992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704308911

1485 M 139, Benton Harbor, MI 49022

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shontay Latrese Simmons Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49022 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

JACQUELINE R BONARDI

Counselor (Mental Health)