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COLTON N SIMBECK NP
NPI 1902552185
Nurse Practitioner - Family in Humboldt, TN

Active since February 25, 2022PECOS EnrolledAccepts Medicare Assignment
2634 N CENTRAL AVE, HUMBOLDT, TN 38343(731) 324-1526(731) 324-1521 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2022, Feb 25, 2022 (2 updates tracked since 2022).

About Colton N Simbeck Np NPPES

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

COLTON N SIMBECK NP (NPI 1902552185) is an individual family provider in Humboldt, Tennessee, licensed in Tennessee (31440) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902552185
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCOLTON N SIMBECKCredential: NP
Location Address2634 N CENTRAL AVEHumboldt, TN 38343-1534
Mailing Address121 Huxley RdMartin, TN 38237-3878 · (931) 242-7619
Phone(731) 324-1526
Fax(731) 324-1521
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 25, 2022
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1902552185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 31440
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 235083 (TN)
2634 N CENTRAL AVE, Humboldt, TN 38343
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Colton N Simbeck Np 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 ID4688061815
PECOS Enrollment IDI20220418002303
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 6

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
432 services60 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
93 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
41 services24 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Volunteer Community Hospital

Acute Care Hospitals · Martin, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440061
Location161 Mount Pelia RdMartin, TN 38237 · Weakley County
Emergency services Birthing friendly

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38343 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

LAJACQUA RIVERS NP
Nurse Practitioner (Family)
2634 N CENTRAL AVE
HUMBOLDT, TN 38343
Gibson County (731) 324-1526
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Rural Health)
2634 N CENTRAL AVE
HUMBOLDT, TN 38343
Gibson County (731) 324-1526
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Urgent Care)
2634 N CENTRAL AVE
HUMBOLDT, TN 38343
Gibson County (731) 324-1526

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 Colton Simbeck's NPI number?

The NPI number for Colton Simbeck is 1902552185. It was assigned to this individual provider in the NPPES registry on February 25, 2022.

Where is Colton Simbeck located?

Colton Simbeck practices at 2634 N Central Ave, Humboldt, TN 38343. The listed phone number is (731) 324-1526.

What is Colton Simbeck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Colton Simbeck enrolled in Medicare?

Yes. Colton Simbeck 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.

What insurance does Colton Simbeck accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Colton Simbeck 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 Colton Simbeck affiliated with any hospitals?

According to CMS data, Colton Simbeck is affiliated with Jackson-Madison County General Hospital, Volunteer Community Hospital and Baptist Memorial Hospital Union City.

When was this NPI record last updated?

The NPPES record for Colton Simbeck was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.