Individual provider Active NPI

Jennifer Lynn Simpson, NP -BC

  • Family Nurse Practitioner
  • Radford, VA
National Provider Identifier
1033626361
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174684 Issued in VA
Practice address
701 Randolph St Ste 120
Radford, VA 24141-3047
Phone
(540) 731-3200
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0017143827 VA
Family Nurse Practitioner 363LF0000X 0024174684 VA Primary

Addresses

Primary practice location

701 Randolph St Ste 120
Radford, VA 24141-3047

Mailing address

701 Randolph St Ste 120
Radford, VA 24141-3047
Phone (540) 731-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsimpson118442@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924001478 VA Practitioner - Nurse Practitioner 2062742711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

701 Randolph St
Suite 120
Radford, VA 24141-3047
Phone (540) 731-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0017143827VAMDFamily Nurse Practitioner
0024174684VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Dec 17, 2019 Accepting new patients
Carilion Healthcare Corporation CurrentSince Sep 30, 2019 Accepting new patients
Carilion Medical Center CurrentSince Dec 17, 2019 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 21, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Sep 30, 2019 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 21, 2020 Accepting new patients

Locations

118 Broad St
Dublin, VA 24084
Phone (540) 674-5244

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

430 Boxwood Ln
Pearisburg, VA 24134
Phone (540) 921-3636

701 Randolph St
Ste 120
Radford, VA 24141
Phone (540) 731-2153

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

Interoperability endpoints

  • Direct secure messaging: jsimpson118442@direct.carilionclinic.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1033626361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 RANDOLPH ST STE 120",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241413047",
            "telephone_number": "540-731-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 RANDOLPH ST STE 120",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241413047",
            "telephone_number": "540-731-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "NP -BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017143827",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsimpson118442@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "jsimpson118442@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "701 Randolph St Ste 120",
            "city": "Radford",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241413047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

Verify at the official NPI Registry.