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MS. LAURA MARIE SULLIVAN-SIMENSON FNP-BC
NPI 1962754572
Nurse Practitioner - Family in Spotsylvania, VA

Active since October 05, 2012PECOS Enrolled
10814 HEATHERWOOD DR, SPOTSYLVANIA, VA 22553(540) 324-7442 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Laura Marie Sullivan-simenson Fnp-bc NPPES

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

MS. LAURA MARIE SULLIVAN-SIMENSON FNP-BC (NPI 1962754572) is an individual family provider in Spotsylvania, Virginia, licensed in Virginia (0024170319) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962754572
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LAURA MARIE SULLIVAN-SIMENSONCredential: FNP-BC
Location Address10814 HEATHERWOOD DRSpotsylvania, VA 22553-1666
Mailing Address10814 Heatherwood DrSpotsylvania, VA 22553-1666 · (540) 324-7442
Phone(540) 324-7442
Sole ProprietorYes
Enumeration DateOctober 5, 2012
✔ NPI 1962754572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024170319
10814 HEATHERWOOD DR, Spotsylvania, VA 22553
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Laura Marie Sullivan-simenson Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Laura Sullivan-simenson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Services Of VA, LLC
4.4 mi
Emergency Medicine
4600 SPOTSYLVANIA PKWY
Fredericksburg, VA 22408
  • Reassigned Medicare billing, Virginia enrollment
  • 91 clinicians in this Medicare group
NPI 1992402069 (540) 498-4000
Emergency Coverage Services, PC
579 mi
Nurse Practitioner
1607 S LOCUST AVE
Lawrenceburg, TN 38464
  • Reassigned Medicare billing, Virginia enrollment
  • 85 clinicians in this Medicare group
NPI 1053351593 (931) 762-6571

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
91 services87 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22553 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Laura Sullivan-simenson's NPI number?

The NPI number for Laura Sullivan-simenson is 1962754572. It was assigned to this individual provider in the NPPES registry on October 5, 2012.

Where is Laura Sullivan-simenson located?

Laura Sullivan-simenson practices at 10814 Heatherwood Dr, Spotsylvania, VA 22553. The listed phone number is (540) 324-7442.

What is Laura Sullivan-simenson's specialty?

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

Is Laura Sullivan-simenson enrolled in Medicare?

Yes. Laura Sullivan-simenson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Laura Sullivan-simenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Sullivan-simenson reassigns Medicare benefits to 2 organizations: Emergency Medicine Services Of VA, LLC (Fredericksburg, VA) and Emergency Coverage Services, PC (Lawrenceburg, TN). 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 Laura Sullivan-simenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Sullivan-simenson accept?

Health plans from Oscar Health list Laura Sullivan-simenson 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.

When was this NPI record last updated?

The NPPES record for Laura Sullivan-simenson was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.