PAUL ONIEL SIMPSON A-GNP-BC
NPI 1770128464
Nurse Practitioner - Adult Health in New York, NY

Active since November 17, 2019PECOS EnrolledAccepts Medicare Assignment
161 FORT WASHINGTON AVE, NEW YORK, NY 10032(121) 230-5706 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul Oniel Simpson A-gnp-bc NPPES

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

PAUL ONIEL SIMPSON A-GNP-BC (NPI 1770128464) is an individual adult health provider in New York, New York, licensed in New York (309249) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770128464
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NamePAUL ONIEL SIMPSONCredential: A-GNP-BC
Location Address161 FORT WASHINGTON AVENew York, NY 10032-3729
Mailing Address630 W 168th St # 4New York, NY 10032-3725 · (212) 305-7060
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 17, 2019
Last NPPES UpdateMay 1, 2020
NPPES CertifiedMay 1, 2020
✔ NPI 1770128464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 309249
Also ListedInternal MedicineTaxonomy 207R00000X · License F309249-01 (NY)
161 FORT WASHINGTON AVE, New York, NY 10032

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Oniel Simpson A-gnp-bc 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 ID6608298013
PECOS Enrollment IDI20200611002706, I20231208001772
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

10

Medicare enrollment records show Paul Simpson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
Internal Medicine
575 BEECH ST
Holyoke, MA 01040
  • Reassigned Medicare billing, Massachusetts enrollment
  • 337 clinicians in this Medicare group
Hospitalist
157 UNION ST
Marlborough, MA 01752
  • Reassigned Medicare billing, Massachusetts enrollment
  • 88 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Massachusetts enrollment
  • 203 clinicians in this Medicare group
Family Medicine
16 N MILES AVE
Hardin, MT 59034
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Scl Health Montana
  • 186 clinicians in this Medicare group
General Practice
32 WICKS LN
Billings, MT 59105
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
Rural Health
214 S MAIN ST
Boulder, MT 59632
  • Reassigned Medicare billing, Montana enrollment
  • 278 clinicians in this Medicare group
Internal Medicine
2525 E CAMELBACK RD, #1100
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 240 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Nyack Hospital

Acute Care Hospitals · Nyack, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330104
Location160 North Midland AvenueNyack, NY 10960 · Rockland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Nurse Practitioner (Pediatrics)
161 FORT WASHINGTON AVE, 7TH FLOOR
NEW YORK, NY 10032
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE, ROOM 661
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Physician Assistant
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Internal Medicine (Interventional Cardiology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE, HERBERT IRVING PAVILION ROOM # 903
NEW YORK, NY 10032
Internal Medicine (Gastroenterology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Urology
161 FORT WASHINGTON AVE, 11TH FLOOR
NEW YORK, NY 10032

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 Paul Simpson's NPI number?

The NPI number for Paul Simpson is 1770128464. It was assigned to this individual provider in the NPPES registry on November 17, 2019.

Where is Paul Simpson located?

Paul Simpson practices at 161 Fort Washington Ave, New York, NY 10032. The listed phone number is (121) 230-5706.

What is Paul Simpson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Paul Simpson enrolled in Medicare?

Yes. Paul Simpson 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.

Which organizations bill Medicare for Paul Simpson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Simpson reassigns Medicare benefits to 10 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Brookview Medical Associates, PLLC (Bohemia, NY), Cogent Medical Care PC (East Patchogue, NY), Sound Physicians Of Massachusetts, Inc (Holyoke, MA), Marlborough Hospitalist Group, PLLC (Marlborough, MA) and 5 more organizations, listed in the Medicare section above. 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 Paul Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Simpson accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Cigna HealthCare of Arizona, Inc, Mountain Health CO-OP and PacificSource Health Plans and 1 other insurer list Paul Simpson 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.

Is Paul Simpson affiliated with any hospitals?

According to CMS data, Paul Simpson is affiliated with Umass Memorial Healthcare-Marlborough Hospital, Signature Healthcare Brockton Hospital, Umass Memorial Medical Center/University Campus, St James Healthcare and Nyack Hospital.

When was this NPI record last updated?

The NPPES record for Paul Simpson was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.