Individual provider Active NPI

Krystal Vern Simmons

  • Family Nurse Practitioner
  • Hillsboro, OH
National Provider Identifier
1073392940
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035009 Issued in OH
Practice address
160 Roberts LN
Hillsboro, OH 45133-7615
Phone
(937) 393-9955
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 APRN.CNP.0035009 OH Primary

Addresses

Primary practice location

160 Roberts LN
Hillsboro, OH 45133-7615

Mailing address

2632 Lower Twin Rd
Greenfield, OH 45123-9312
Phone (937) 763-0242

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adenafamilymedicinehillsboro@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231208002002 OH Practitioner - Nurse Practitioner 4082063565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

160 Roberts LN
Hillsboro, OH 45133-7615
Phone (937) 393-9955

Hospital & facility affiliations

  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Nov 13, 2023 Accepting new patients

Locations

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

160 Roberts Ln
Hillsboro, OH 45133
Phone (937) 393-9955

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: ksimmons1061962@direct.osumc.edu

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 2

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1073392940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 LOWER TWIN RD",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451239312",
            "telephone_number": "937-763-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROBERTS LN",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337615",
            "telephone_number": "937-393-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KRYSTAL",
        "middle_name": "VERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adenafamilymedicinehillsboro@adena.medicity.net",
            "affiliation": "N",
            "address_1": "160 Roberts Ln",
            "city": "Hillsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451337615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.