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

KHADENE SIMMONS
NPI 1902502008
Nurse Practitioner - Psychiatric/Mental Health in Clearwater, FL

Q: What is Khadene Simmons's NPI number?

The NPI number for Khadene Simmons is 1902502008. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Q: What is Khadene 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 Khadene Simmons was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 February 01, 2023PECOS Enrolled

2985 DREW ST, CLEARWATER, FL 33759(813) 302-8400 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Mar 28, 2023, Feb 1, 2023 (3 updates tracked since 2023).

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About Khadene Simmons NPPES

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

KHADENE SIMMONS (NPI 1902502008) is an individual psychiatric/mental health provider in Clearwater, Florida, licensed in Florida (11023908) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902502008

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKHADENE SIMMONS

Location Address2985 DREW STClearwater, FL 33759-3012

Mailing Address9648 Us Highway 301 S # 46Riverview, FL 33578-5442

Phone(813) 302-8400

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 1, 2023

Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1902502008 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 FL · 11023908

2985 DREW ST, Clearwater, FL 33759

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khadene Simmons 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 ID8022483668

PECOS Enrollment IDI20230412001614

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.

Areas of Expertise CMS Part B claims 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

550 services173 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

247 services78 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

68 services68 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

59 services59 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

52 services33 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

44 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33759 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE EILEEN DECKER NP-C

Nurse Practitioner (Family)