RAE LYNN SIMMONS
NPI 1942178058
Nurse Practitioner - Family in Salem, OR
About Rae Lynn Simmons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAE LYNN SIMMONS (NPI 1942178058) is an individual family provider in Salem, Oregon, licensed in Oregon (0050882) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Rae Lynn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rae Simmons's NPI number?
The NPI number for Rae Simmons is 1942178058. It was assigned to this individual provider in the NPPES registry on October 29, 2025.
Where is Rae Simmons located?
Rae Simmons practices at 966 12th St SE Ste 130, Salem, OR 97302. The listed phone number is (503) 837-6395.
What is Rae Simmons's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rae Simmons enrolled in Medicare?
Yes. Rae 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.
When was this NPI record last updated?
The NPPES record for Rae Simmons was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Rae Lynn Simmons · NPI 1942178058
Family physician in Salem, Oregon. Individual provider, active in the CMS NPPES registry since October 29, 2025.
## Identity
- **NPI:** 1942178058 (Entity type: Individual)
- **Enumerated:** October 29, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0050882 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 966 12TH ST SE STE 130, Salem, OR 97302-2860
- **Phone:** (503) 837-6395
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942178058) · Data from the CMS NPPES public registry.