Individual provider Active NPI

Amanda L Simmons, N.P.

  • Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1114171469
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024168056 Issued in VA
Practice address
1818 Amherst St
Winchester, VA 22601-2869
Phone
(540) 450-0072
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024168056 VA Primary

Addresses

Primary practice location

1818 Amherst St
Winchester, VA 22601-2869

Mailing address

1818 Amherst St
Winchester, VA 22601-2869
Phone (540) 450-0072

Other practice location 1

1818 Amherst St Ste 101
Winchester, VA 22601-2808
Phone (540) 450-0072

Other practice location 2

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other identifiers 3

IdentifierTypeStateIssuer
P00676827OtherVAMEDICARE RR
1114171469MedicaidVA
3810013805MedicaidWV

Other names 1

  • Amanda L Hahn Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Amanda.hahnsimmons@vbsc.directbygreenway.com
Direct Messaging Address Amanda.hahnsimmons@vbsc.directbygreenway.com
Direct Messaging Address Amanda.hahnsimmons@vbsc.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20081230000333 VA Practitioner - Nurse Practitioner 3274695283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Practice addresses (Care Compare)

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

1830 Amherst St
Winchester, VA 22601-2808
Phone (540) 667-1828

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

1880 Amherst St
Winchester, VA 22601-2808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168056VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Winchester Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Winchester Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1818 Amherst St
Winchester, VA 22601
Phone (540) 450-0072

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1818 Amherst St
Ste 101
Winchester, VA 22601
Phone (540) 450-0072

220 Campus Blvd
Ste 100
Winchester, VA 22601

1818 Amherst St
Ste 201
Winchester, VA 22601
Phone (540) 450-2339

Interoperability endpoints

  • Direct secure messaging: amanda.hahnsimmons@vbsc.directbygreenway.com
  • Direct secure messaging: asimmons124556@valleyhealth.direct-ci.com

Organizations & group practices 9

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 6

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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1114171469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012869",
            "telephone_number": "540-450-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012869",
            "telephone_number": "540-450-0072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Amherst St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-450-0072",
            "fax_number": "540-450-0074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024168056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00676827",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114171469",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013805",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amanda.hahnsimmons@vbsc.directbygreenway.com",
            "affiliation": "N",
            "address_1": "1818 Amherst St Ste 101",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amanda.hahnsimmons@vbsc.directbygreenway.com",
            "affiliation": "N",
            "address_1": "174 Botanical Blvd",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226033977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amanda.hahnsimmons@vbsc.directbygreenway.com",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HAHN",
            "middle_name": "L",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.