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DR. NICOLE DENISE SIMS D.O.
NPI 1932417417
Internal Medicine in Montclair, CA

Active since September 19, 2010PECOS EnrolledAccepts Medicare Assignment
9655 MONTE VISTA AVE STE 402, MONTCLAIR, CA 91763(909) 626-1205(909) 670-0473 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nicole Denise Sims D.o. NPPES

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

DR. NICOLE DENISE SIMS D.O. (NPI 1932417417) is an individual internal medicine provider in Montclair, California, licensed in California (20A11223) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1932417417
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICOLE DENISE SIMSCredential: D.O.
Location Address9655 MONTE VISTA AVE STE 402Montclair, CA 91763-2238
Mailing Address9655 Monte Vista Ave Ste 402Montclair, CA 91763-2238 · (909) 626-1205 · Fax (909) 670-0473
Phone(909) 626-1205
Fax(909) 670-0473
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateSeptember 19, 2010
Last NPPES UpdateOctober 13, 2017
✔ NPI 1932417417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A11223
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 20A11223 (CA)
9655 MONTE VISTA AVE STE 402, Montclair, CA 91763
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Secondary Practice Location 1

Location 12776 Pacific AveLong Beach, CA 90806-2613 · Phone (562) 977-2350

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

Dr. Nicole Denise Sims 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.

PECOS PAC ID6608008651
PECOS Enrollment IDI20161118001153
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

2

Medicare enrollment records show Nicole Sims reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inpatient Specialists Of California, PC
24 mi
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 clinicians in this Medicare group
NPI 1952792475 (615) 377-5658
Hospitalist Medicine Physicians Of California, Inc
40 mi
Internal Medicine
18300 US HIGHWAY 18
Apple Valley, CA 92307
  • Reassigned Medicare billing, California enrollment
  • 914 clinicians in this Medicare group
NPI 1184663965 (760) 946-4233

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 4

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services55 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
59 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services39 patients
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.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91763 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers30 claims30 services$14.38 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers35 claims35 services$67.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

YEYONG SHIN DO
Family Medicine
9655 MONTE VISTA AVE STE 402
MONTCLAIR, CA 91763
San Bernardino County (909) 626-1205

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 Nicole Sims's NPI number?

The NPI number for Nicole Sims is 1932417417. It was assigned to this individual provider in the NPPES registry on September 19, 2010.

Where is Nicole Sims located?

Nicole Sims practices at 9655 Monte Vista Ave Ste 402, Montclair, CA 91763. The listed phone number is (909) 626-1205.

What is Nicole Sims's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Sims enrolled in Medicare?

Yes. Nicole Sims 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 Nicole Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sims reassigns Medicare benefits to 2 organizations: Inpatient Specialists Of California, PC (San Bernardino, CA) and Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA). 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 Nicole Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Sims was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.