Individual provider Active NPI

Carsia D Simms

  • Family Nurse Practitioner
  • Vernon, CT
National Provider Identifier
1184478174
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15727 Issued in CT
Practice address
145 Union St
Vernon, CT 06066-3025
Phone
(860) 375-8440
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 15727 CT Primary

Addresses

Primary practice location

145 Union St
Vernon, CT 06066-3025

Mailing address

119 Pine LN
Windsor, CT 06095-3500
Phone (860) 690-7698

Other practice location 1

1 Emerson Dr
Windsor, CT 06095-3204
Phone (860) 688-6443

Other practice location 2

59 Harrington Ct
Colchester, CT 06415-1207
Phone (860) 537-2339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20251204004252 CT Practitioner - Nurse Practitioner 1153814371 Reassigns benefits to 1 organization

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
Proactive Health Care Management LLCGroup PAC ID 8022497874, 38 clinicians

Practice addresses (Care Compare)

34 Wildwood Ave
Madison, CT 06443-2102
Phone (203) 245-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15727CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Health Care Management,LLC Single Specialty CurrentSince Nov 25, 2025 Accepting new patients

Locations

59 Harrington Ct
Colchester, CT 06415
Phone (860) 537-2339

34 Wildwood Ave
Madison, CT 06443
Phone (203) 245-8008

845 Paddock Ave
Meriden, CT 06450
Phone (203) 238-2645

4 Hazel Ave
Naugatuck, CT 06770
Phone (203) 720-3411

1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443

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.

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1184478174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PINE LN",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953500",
            "telephone_number": "860-690-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 UNION ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663025",
            "telephone_number": "860-375-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Emerson Dr",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060953204",
            "country_code": "US",
            "telephone_number": "860-688-6443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Harrington Ct",
            "address_purpose": "LOCATION",
            "city": "Colchester",
            "state": "CT",
            "postal_code": "064151207",
            "country_code": "US",
            "telephone_number": "860-537-2339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "CARSIA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "15727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.