Individual provider Active NPI

Richard Hobson Simmons, APRN

  • Family Nurse Practitioner
  • Jersey Village, TX
National Provider Identifier
1083369987
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1064078 Issued in TX
Practice address
16305 De Lozier St
Jersey Village, TX 77040-2051
Phone
(346) 213-3773
NPI assigned
Feb 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1064078 TX Primary

Addresses

Primary practice location

16305 De Lozier St
Jersey Village, TX 77040-2051

Mailing address

16305 De Lozier St
Jersey Village, TX 77040-2051
Phone (346) 213-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230123000145 TX Practitioner - Nurse Practitioner 7810368289 Reassigns benefits to 1 organization
I20241018002132 WV Practitioner - Nurse Practitioner 7810368289 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1064078TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Matrix Medical Network of West Single Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

209 Washington St W
Charleston, WV 25302
Phone 24852821166

Organizations & group practices 3

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1083369987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 DE LOZIER ST",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770402051",
            "telephone_number": "346-213-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16305 DE LOZIER ST",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770402051",
            "telephone_number": "346-213-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "RICHARD",
        "middle_name": "HOBSON",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1064078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

Verify at the official NPI Registry.