Individual provider Active NPI

Anna-Marie Simpson, D.C., MSACN

  • Chiropractor
  • Syracuse, NY
National Provider Identifier
1033439088
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012099-1 Issued in NY
Practice address
170 Intrepid LN Ste 1
Syracuse, NY 13205-2545
Phone
(315) 857-5557
Fax
(315) 320-9235
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012099-1 NY Primary

Addresses

Primary practice location

170 Intrepid LN Ste 1
Syracuse, NY 13205-2545

Mailing address

170 Intrepid LN Ste 1
Syracuse, NY 13205-2545
Phone (315) 857-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170411001516 NY Practitioner - Chiropractic 5193993251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

170 Intrepid LN
Suite 1
Syracuse, NY 13205-2545
Phone (315) 857-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012099-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Family Wellness: Chiropractic, PLLC CurrentSince Dec 12, 2016 Accepting new patients

Locations

4922 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 857-5557

170 Intrepid Ln
#1
Syracuse, NY 13205
Phone (315) 857-5557

Interoperability endpoints

  • Direct secure messaging: simpson_family_wellness@hiemail.healtheconnections.org
  • Direct secure messaging: asimpson@hiemail.healtheconnections.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1033439088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 INTREPID LN STE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545",
            "telephone_number": "315-857-5557",
            "fax_number": "315-320-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 INTREPID LN STE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545",
            "telephone_number": "315-857-5557",
            "fax_number": "315-320-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ANNA-MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C., MSACN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012099-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.