Individual provider Active NPI

Mona Renea Simms, APN

  • Family Nurse Practitioner
  • Malvern, AR
National Provider Identifier
1053634485
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ATP-000245 Issued in AR
Practice address
850 Henry St
Malvern, AR 72104-2712
Phone
(501) 332-5245
NPI assigned
Mar 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ATP-000245 AR Primary

Addresses

Primary practice location

850 Henry St
Malvern, AR 72104-2712

Mailing address

850 Henry St
Malvern, AR 72104-2712
Phone (501) 332-5245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20101217000370 AR Practitioner - Nurse Practitioner 9830387877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawn Purifoy MD PAGroup PAC ID 0749295202, 4 clinicians

Practice addresses (Care Compare)

850 Henry St
Malvern, AR 72104-2712
Phone (501) 337-1836

Hospital & facility affiliations

  • Baptist Health Medical Center-Hot Springs County Hospital, Malvern, AR, CCN 040076
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ATP-000245ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn Purifoy, M.D., P.a. CurrentSince Nov 8, 2010 Accepting new patients

Locations

850 Henry St
Malvern, AR 72104
Phone (501) 255-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHCCA/Endpoint/EIHCCA
  • Direct secure messaging: mona.simms@mfmcpurifoy.eclinicaldirectplus.com

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.

Hospital & facility affiliations 7

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": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1053634485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HENRY ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042712",
            "telephone_number": "501-332-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HENRY ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042712",
            "telephone_number": "501-332-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "MONA",
        "middle_name": "RENEA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ATP-000245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.