KELSEY ELIZABETH SIMMONS D.O.
NPI 1831545383
Family Medicine in Allentown, PA
About Kelsey Elizabeth Simmons D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY ELIZABETH SIMMONS D.O. (NPI 1831545383) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS025208) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains a secondary practice location in Hope Mills.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kelsey Elizabeth Simmons D.o. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kelsey Simmons reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Allentown, PA 18104
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Raleigh, NC 27614
- Reassigned Medicare billing, North Carolina enrollment
- 1,337 clinicians in this Medicare group
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 51 clinicians in this Medicare group
Hope Mills, NC 28348
- Reassigned Medicare billing, North Carolina enrollment
- 122 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 11
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cape Fear Valley Medical Center
Acute Care Hospitals · Fayetteville, NCSoutheastern Regional Medical Center
Acute Care Hospitals · Lumberton, NCSt Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALLENTOWN, PA 18104
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 Kelsey Simmons's NPI number?
The NPI number for Kelsey Simmons is 1831545383. It was assigned to this individual provider in the NPPES registry on May 13, 2016.
Where is Kelsey Simmons located?
Kelsey Simmons practices at 501 Cetronia Rd Ste 135, Allentown, PA 18104. The listed phone number is (484) 426-2400.
What is Kelsey Simmons's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kelsey Simmons enrolled in Medicare?
Yes. Kelsey Simmons 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 Kelsey Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Simmons reassigns Medicare benefits to 4 organizations: St Luke's Physician Group Inc (Allentown, PA), Unc Physicians Network, LLC (Raleigh, NC), Fayetteville Area Health Education Foundation Inc (Fayetteville, NC) and Southeastern Regional Physician Services (Hope Mills, NC). 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 Kelsey Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelsey Simmons affiliated with any hospitals?
According to CMS data, Kelsey Simmons is affiliated with Cape Fear Valley Medical Center, Southeastern Regional Medical Center and St Luke's Hospital Bethlehem.
When was this NPI record last updated?
The NPPES record for Kelsey Simmons was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelsey Elizabeth Simmons, D.O. · NPI 1831545383
Family Medicine physician in Allentown, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 13, 2016.
## Identity
- **NPI:** 1831545383 (Entity type: Individual)
- **Enumerated:** May 13, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS025208 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 CETRONIA RD STE 135, Allentown, PA 18104-9569
- **Phone:** (484) 426-2400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St Luke's Physician Group Inc (NPI 1417478413, Allentown, PA); Unc Physicians Network, LLC (NPI 1376841874, Raleigh, NC); Fayetteville Area Health Education Foundation Inc (NPI 1811072812, Fayetteville, NC); Southeastern Regional Physician Services (NPI 1093389231, Hope Mills, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1831545383) · Data from the CMS NPPES public registry.