Active NPI
Mona Renea Simms, APN
- Family Nurse Practitioner
- Malvern, AR
National Provider Identifier
1053634485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ATP-000245
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- CHI St. Vincent Hospital Hot Springs
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP-000245 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn Purifoy, M.D., P.a. | Current | Accepting new patients |
Locations
850 Henry St
Malvern, AR 72104
Phone (501) 255-6000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIHCCA/Endpoint/EIHCCA
- 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.
-
- Family Medicine Physician
- Malvern, AR
- NPI 1295745933
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Malvern, AR
- NPI 1902868391
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.