MRS. MARIAH LEE SIMMONS APRN
NPI 1992347132
Nurse Practitioner - Family in Johnson City, NY

Active since October 09, 2019PECOS EnrolledAccepts Medicare Assignment
88.52/100
CMS Quality Rating
46 HARRISON ST, JOHNSON CITY, NY 13790(607) 729-4942 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2023, Oct 9, 2019 (2 updates tracked since 2019).

About Mrs. Mariah Lee Simmons Aprn NPPES

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

MRS. MARIAH LEE SIMMONS APRN (NPI 1992347132) is an individual family provider in Johnson City, New York, licensed in New York (350346) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992347132
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARIAH LEE SIMMONSCredential: APRN
Location Address46 HARRISON STJohnson City, NY 13790-2120
Mailing Address33 Lewis Rd, Fl 2Binghamton, NY 13905 · (607) 770-0025
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 9, 2019
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1992347132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NY · 350346 Licensed in AR · 122319
Also ListedNeurological SurgeryTaxonomy 207T00000X · License 122319 (AR)
46 HARRISON ST, Johnson City, NY 13790

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

Mrs. Mariah Lee Simmons 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 ID6800128562
PECOS Enrollment IDI20221118001444
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
66 services45 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.
24 services18 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services21 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Delaware Valley Hospital, Inc

Critical Access Hospitals · Walton, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331312
Location1 Titus PlaceWalton, NY 13856 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

88.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Promoting Interoperability100
Improvement Activities40
Cost76.76

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
46 HARRISON ST
JOHNSON CITY, NY 13790
Nurse Practitioner (Family)
46 HARRISON ST
JOHNSON CITY, NY 13790
Psychiatry & Neurology (Neurology)
46 HARRISON ST
JOHNSON CITY, NY 13790
Physician Assistant (Surgical)
46 HARRISON ST
JOHNSON CITY, NY 13790
Psychiatry & Neurology (Neurology)
46 HARRISON ST
JOHNSON CITY, NY 13790
Physician Assistant (Surgical)
46 HARRISON ST
JOHNSON CITY, NY 13790
Neurological Surgery
46 HARRISON ST
JOHNSON CITY, NY 13790
Neurological Surgery
46 HARRISON ST
JOHNSON CITY, NY 13790

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 Mariah Simmons's NPI number?

The NPI number for Mariah Simmons is 1992347132. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Mariah Simmons located?

Mariah Simmons practices at 46 Harrison St, Johnson City, NY 13790. The listed phone number is (607) 729-4942.

What is Mariah Simmons's specialty?

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

Is Mariah Simmons enrolled in Medicare?

Yes. Mariah 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.

Is Mariah Simmons affiliated with any hospitals?

According to CMS data, Mariah Simmons is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Chenango Memorial Hospital, United Health Services Hospitals, Inc and Delaware Valley Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Mariah Simmons was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.