SHANNON MARIE SIMS APRN
NPI 1962064832
Nurse Practitioner in Pensacola, FL

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
6314 N 9TH AVE, PENSACOLA, FL 32504(850) 416-4730(850) 416-4703 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Marie Sims Aprn NPPES

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

SHANNON MARIE SIMS APRN (NPI 1962064832) is an individual nurse practitioner in Pensacola, Florida, licensed in Florida (APRN11002992) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962064832
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON MARIE SIMSCredential: APRN
Location Address6314 N 9TH AVEPensacola, FL 32504-7320
Mailing AddressPo Box 2699, Attn Shmg HpePensacola, FL 32513-2699 · (850) 416-4730 · Fax (850) 416-4703
Fax(850) 416-4703
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 1, 2019
NPI 1962064832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11002992
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.
6314 N 9TH AVE, Pensacola, FL 32504

Secondary Practice Locations 2

Location 18220 Navarre PkwyNavarre, FL 32566-6943 · Phone (850) 416-7272 · Fax (850) 416-7274
Location 22237 W Nine Mile RdPensacola, FL 32534-9416 · Phone (850) 416-4740 · Fax (850) 416-4705

Accepted 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

Shannon Marie Sims Aprn 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 ID4385973981
PECOS Enrollment IDI20190906002171
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
253 services181 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.
177 services153 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Jay Hospital

Critical Access Hospitals · Jay, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101315
Location14114 Alabama StJay, FL 32565 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
6314 N 9TH AVE
PENSACOLA, FL 32504
Pharmacist
6314 N 9TH AVE
PENSACOLA, FL 32504
Nurse Practitioner (Family)
6314 N 9TH AVE
PENSACOLA, FL 32504
Pharmacist
6314 N 9TH AVE
PENSACOLA, FL 32504
Pharmacist
6314 N 9TH AVE
PENSACOLA, FL 32504
Nurse Practitioner
6314 N 9TH AVE
PENSACOLA, FL 32504
Nurse Practitioner (Family)
6314 N 9TH AVE
PENSACOLA, FL 32504
Pharmacy
6314 N 9TH AVE
PENSACOLA, FL 32504

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 Shannon Sims's NPI number?

The NPI number for Shannon Sims is 1962064832. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Shannon Sims located?

Shannon Sims practices at 6314 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 416-4730.

What is Shannon Sims's specialty?

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

Is Shannon Sims enrolled in Medicare?

Yes. Shannon 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.

What insurance does Shannon Sims accept?

Health plans from Oscar Health Maintenance Organization of Florida list Shannon Sims 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 Shannon Sims affiliated with any hospitals?

According to CMS data, Shannon Sims is affiliated with Sacred Heart Hospital, Baptist Hospital and Jay Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Sims was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.