Jared T Simmons, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN9343190 Issued in FL

Practice address

3725 S Hwy 27
Ste 105
Clermont, FL 34711

Phone

(855) 353-7546

Fax

(863) 293-2147

NPI assigned

Jun 6, 2016

Last updated

Apr 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K Wade Foster MD PAGroup PAC ID 3173663374, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• K Wade Foster MD PA

  dba Florida Dermatology & Skin Cancer Centers

  • MOHS-Micrographic Surgery Physician
  • Winter Haven, FL
  • NPI 1205066404
  Medicare reassignment Care Compare group NPD
• Virginia Ann Schekorra PA

  • Dermatology Physician
  • Pinellas Park, FL
  • NPI 1003004862
  NPD (past)

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

• South Lake Hospital, Inc.

  dba Orlando Health South Lake Hospital

  • General Acute Care Hospital
  • Clermont, FL
  • NPI 1336221019
  Care Compare affiliation

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1093164667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804505",
            "telephone_number": "863-293-2147",
            "fax_number": "863-294-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 S HWY 27",
            "address_2": "STE 105",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "855-353-7546",
            "fax_number": "863-293-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1052 Downing Cir",
            "address_purpose": "LOCATION",
            "city": "Wauchula",
            "state": "FL",
            "postal_code": "338733358",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-774-3526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Linden Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338534342",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-676-1015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 S US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344506860",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "352-637-0788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 6th St SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338804505",
            "country_code": "US",
            "telephone_number": "855-393-7546",
            "fax_number": "863-294-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26800 S Tamiami Trl Ste 360",
            "address_purpose": "LOCATION",
            "city": "Bonita Spgs",
            "state": "FL",
            "postal_code": "341344355",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "239-676-0208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13145 Kings Lake Dr Unit 104",
            "address_purpose": "LOCATION",
            "city": "Gibsonton",
            "state": "FL",
            "postal_code": "335343962",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "813-773-4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JARED",
        "middle_name": "T",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9343190",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9343190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Antonio Silva Blanco
• Margaret G Silver, MD
• Jean-Pierre St. Patrick Silvera, D.C.
• Patricia H Silvera, PHARMD
• Audrey Simmons, LMHC
• Karina Simmons
• Nanette Simon
• Simonmed Imaging Florida LLC (Simonmed Imaging Clermont)
• Simple Abundance Therapy, LLC
• Ankit Kumar Singh, MD

• Adult Health Nurse Practitioner in Clermont, FL
• Providers in Clermont, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.

Verify at the official NPI Registry.