NICOLE LYNN SIMENTAL RN- BSN FNP
NPI 1912650987
Nurse Practitioner in Pismo Beach, CA

Q: What is Nicole Simental's NPI number?

The NPI number for Nicole Simental is 1912650987. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Q: What is Nicole Simental's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Simental was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 31, 2022PECOS EnrolledAccepts Medicare Assignment

2 JAMES WAY STE 209, PISMO BEACH, CA 93449(805) 549-6915(805) 549-6916 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, Feb 3, 2025, May 13, 2024 and 1 more (4 updates tracked since 2022).

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About Nicole Lynn Simental Rn- Bsn Fnp NPPES

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

NICOLE LYNN SIMENTAL RN- BSN FNP (NPI 1912650987) is an individual nurse practitioner in Pismo Beach, California, licensed in California (95029443) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912650987

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE LYNN SIMENTALCredential: RN- BSN FNP

Location Address2 JAMES WAY STE 209Pismo Beach, CA 93449-4976

Mailing Address2 James Way Ste 209Pismo Beach, CA 93449-4976 · (805) 549-6915 · Fax (805) 549-6196

Phone(805) 549-6915

Fax(805) 549-6916

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 31, 2022

Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1912650987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CA · 95029443✔ Licensed in CO · APN.0998410-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F06212007 (CO)

2 JAMES WAY STE 209, Pismo Beach, CA 93449

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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

Nicole Lynn Simental Rn- Bsn Fnp 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 ID7618362369

PECOS Enrollment IDI20220316003221

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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

$91.64 typical visit price

range $59.84 – $178.89

Typical copayment $22.91 (range $14.96 – $44.72)

Most-billed visit code 99203

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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 5

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

MATTHEW EREN LANSON MD

Pediatrics