SHEILA D SIMMONS NP-C NPI 1760894927
Nurse Practitioner - Family in Albertville, AL

Individual Female Nurse Practitioner Family PECOS Enrolled

About 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 NPI number of Sheila Simmons is 1760894927 and was 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 7 years ago.

NPI
1760894927
Provider Name SHEILA D SIMMONS NP-C
Provider Location Address3442 US HIGHWAY 431 ALBERTVILLE, AL 35950
Provider Mailing Address3442 US HIGHWAY 431 ALBERTVILLE, AL 35950
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date05-22-2014
Last Update Date07-20-2015

A nurse practitioner (NP) like Sheila D Simmons Np-c 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.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..

Sheila Simmons is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.1113557
License StateAL

Business Address

SHEILA D SIMMONS NP-C
3442 US HIGHWAY 431
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 593-1234
Fax: (256) 593-6781

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Mailing Address

SHEILA D SIMMONS NP-C
3442 US HIGHWAY 431
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 593-1234
Fax: (256) 593-6781


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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.
1760894927
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120169894
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 = 77

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.

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 Medicine3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1023003019 LARRY R JOHNSTON M.D.
Individual
Family Medicine3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1245290154SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C.
Organization
Family Medicine3442 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 Medicine3442 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
1821486465MRS. JENNIFER S TURNER CRNP
Individual
Nurse Practitioner (Family)3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1942688320MR. 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
1194232132MEDICAL ASSET GROUP, LLC
Organization
Family Medicine3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 907-9000
1477041804MRS. PEGGY JO ROBERTS MSN, CRNP, FNP-C
Individual
Nurse Practitioner (Family)3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 907-9000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Sheila D Simmons Np-c is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.