Individual provider Active NPI

Paula Lyn Magee Simmons, APRN

  • Acute Care Nurse Practitioner
  • Piggott, AR
National Provider Identifier
1104713858
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
232639 Issued in AR
Practice address
1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone
(870) 598-3881
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 232639 AR Primary

Addresses

Primary practice location

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911

Mailing address

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911

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
I20260204003983 AR Practitioner - Nurse Practitioner 9638658214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piggott Community HospitalGroup PAC ID 0345140448, 10 clinicians

Practice addresses (Care Compare)

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone (870) 598-3881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232639ARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piggott Community Hospital CurrentSince Oct 18, 2025 Accepting new patients
Piggott Community Hospital CurrentSince Oct 18, 2025 Accepting new patients

Locations

1206 Gordon Duckworth Dr
Piggott, AR 72454
Phone (870) 598-3881

Organizations & group practices 8

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1104713858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 GORDON DUCKWORTH DR",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724541911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 GORDON DUCKWORTH DR",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724541911",
            "telephone_number": "870-598-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE SIMMONS",
        "first_name": "PAULA",
        "middle_name": "LYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "232639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piggott, AR

Sources for this page

Verify at the official NPI Registry.