Angela Marie Simmons, C.R.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R160125 Issued in MD

Practice address

9956 North Main Street
Unit 2
Berlin, MD 21811-1060

Phone

(410) 641-9568

Fax

(410) 641-1006

NPI assigned

Oct 14, 2009

Last updated

Feb 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
• Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
• Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

Merit-based Incentive Payment System (MIPS)

Final score

82.2 of 100Reported as group

Quality

70.92

Promoting interoperability

98

Improvement activities

40

Cost

71.41

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelasimmons@agh.allscriptsdirect.net

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.

• Tidalhealth Specialty Care, LLC

  • Medical Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1619504735
  Medicare reassignment Care Compare group NPD
• Atlantic General Hospital Corporation

  dba Atlantic General Health System

  • Family Medicine Physician
  • Berlin, MD
  • NPI 1871582171
  Medicare reassignment Care Compare group
• Alae Zarif MD LLC

  • Surgery Physician
  • Berlin, MD
  • NPI 1760660146
  NPD (past)
• Atlantic Immedicare LLC

  • General Practice Physician
  • Ocean City, MD
  • NPI 1518199223
  NPD (past)
• Little Doc Rider PC

  • Family Medicine Physician
  • Berlin, MD
  • NPI 1922168947
  NPD (past)

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

• Tidalhealth Atlantic, Inc

  dba Atlantic General Hospital Corp

  • General Acute Care Hospital
  • Berlin, MD
  • NPI 1053309120
  Care Compare affiliation
• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  Care Compare affiliation
• Tidalhealth Nanticoke, Inc

  • General Acute Care Hospital
  • Seaford, DE
  • NPI 1245214477
  Care Compare affiliation

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1225363922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9956 N MAIN ST",
            "address_2": "UNIT 2",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111077",
            "telephone_number": "410-641-9568",
            "fax_number": "410-641-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9956 NORTH MAIN STREET",
            "address_2": "UNIT 2",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111060",
            "telephone_number": "410-641-9568",
            "fax_number": "410-641-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R160125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shorewellness and Med Spa, LLC
• Gary Short, PT
• Alexa Lynn Yetta Shoultes, LCSW-C
• Roxanne Suzette Shuman, LGSW
• Chandler Littleton Siers
• Susan Lynne Simone, R.N.
• Hailey Louise Simpler
• Mary Catherine Sing
• Darrisha Small
• Andrew Smith

• Family Nurse Practitioner in Berlin, MD
• Providers in Berlin, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.