Individual provider Active NPI

Mariah Simms, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1235829391
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1108822 Issued in TX
Practice address
12201 Renfert Way Ste 250
Austin, TX 78758-5354
Phone
(512) 994-2662
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 1108822 TX Primary

Addresses

Primary practice location

12201 Renfert Way Ste 250
Austin, TX 78758-5354

Mailing address

17604 Chino LN
Pflugerville, TX 78660-6908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230918000058 TX Practitioner - Nurse Practitioner 6002270576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

12201 Renfert Way
250 Austin Regional Clinic North Austin OB/
Austin, TX 78758-5354
Phone (512) 994-2662

6835 Austin Ctr Blvd
Austin, TX 78731-3166
Phone (512) 346-6611

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Aug 1, 2023 Accepting new patients
Austin Regional Clinic, PA CurrentSince Aug 1, 2023 Accepting new patients

Locations

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6210 E Highway 290
Austin, TX 78723

12201 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 454-6753

12201 Renfert Way
Ste 250
Austin, TX 78758
Phone (512) 901-1506

1401 Medical Pkwy
Ste 220
Cedar Park, TX 78613
Phone (512) 260-1581

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: msimms28303@arcmd.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1235829391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17604 CHINO LN",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-994-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "MARIAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1108822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.