SHEILA SHEILA D SIMMONS NP-C NPI 1760894927
Nurse Practitioner - Family in Albertville, AL
About SHEILA SHEILA D SIMMONS NP-C
Sheila Simmons is a provider established in Albertville, Alabama and her medical specialization is Nurse Practitioner with a focus in family . The healthcare provider is registered in the NPI registry with number 1760894927 assigned on May 2014. The practitioner's primary taxonomy code is 363LF0000X with license number 1113557 (AL). The provider is registered as an individual and her NPI record was last updated 8 years ago.
| NPI | 1760894927 |
| Provider Name | SHEILA SHEILA D SIMMONS NP-C |
| Location Address | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 |
| Location Phone | (256) 593-1234 |
| Mailing Address | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 |
| Gender | Female |
| Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-22-2014 |
| Last Update Date | 07-20-2015 |
| Code Navigator |
A nurse practitioner (NP) like Sheila Simmons is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Business Address
3442 US HIGHWAY 431
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 593-1234
Fax: (256) 593-6781
Mailing Address
3442 US HIGHWAY 431
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 593-1234
Fax: (256) 593-6781
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 363LF0000X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Family |
| License No. | 1113557 |
| License State | AL |
Location Map
PECOS Enrollment and Medicare Participation Status
Sheila Simmons is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 35950 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.95
- Minimum New Patient Price $55.54
- Maximum New Patient Price $170.61
- Average New Patient Copayment $21.48
- Minimum New Patient Copayment $13.88
- Maximum New Patient Copayment $42.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.33
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $139.08
- Average Established Patient Copayment $24.83
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $34.77
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 8 | 9 | 4 | 9 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 16 | 9 | 8 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 6 + 9 + 8 + 9 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1760894927 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Provider Reviews
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Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679568752 | RAYMOND C UFFORD M.D. Individual | Family Medicine | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 593-1234 |
| 1023003019 | LARRY R JOHNSTON M.D. Individual | Family Medicine | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 593-1234 |
| 1245290154 | SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C. Organization | Family Medicine | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 593-1234 |
| 1972834190 | NICCOLE LYNNE MCDANIEL MSN,ACNP Individual | Nurse Practitioner (Acute Care) | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 593-1234 |
| 1619962602 | ELLIOTT J. SALTZ M.D. Individual | Family Medicine | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 593-1234 |
| 1235546334 | SABRINA THOMAS CRNP Individual | Nurse Practitioner (Family) | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 593-1234 |
| 1942688320 | MR. GAYLE L LOMBARD JR. CRNP Individual | Nurse Practitioner (Family) | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 593-1234 |
| 1881073088 | MEGAN LIGHT CRNP Individual | Nurse Practitioner (Family) | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 593-1234 |
| 1194232132 | MEDICAL ASSET GROUP, LLC Organization | Family Medicine | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 907-9000 |
| 1477041804 | MRS. PEGGY JO ROBERTS MSN, CRNP, FNP-C Individual | Nurse Practitioner (Family) | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 907-9000 |
| 1699173583 | DONNA RICHARDSON CRNP Individual | Nurse Practitioner | 3442 US HIGHWAY 431 ALBERTVILLE, AL 35950 (256) 593-1234 |
Frequently Asked Questions
What is Sheila Simmons NP-C NPI number?
The NPI number assigned to this healthcare provider is 1760894927, enumerated in the NPI registry as an "individual" on May 22, 2014
Where is the provider located?
The provider is located at 3442 Us Highway 431 Albertville, Al 35950 and the phone number is (256) 593-1234
What is the provider specialty code?
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
Is Sheila Simmons NP-C registered in PECOS?
Yes, as of December 01, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Sheila Simmons NP-C?
Medicare beneficiaries should expect a typical cost of $85.95 with an average copayment of $21.48 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
This NPI record was last updated on May 22, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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