Michelle Sims, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3009835 Issued in KY

Practice address

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280

Phone

(270) 506-3300

Fax

(270) 506-2843

NPI assigned

Oct 21, 2015

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

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Commonwealth Pain Associates, PLLC

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177

  Nurse Practitioner

  Medicare reassignment NPD
• Commonwealth Pain Associates PLLC

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1114753720
  NPD
• Norton Hospitals, Inc

  • Pain Medicine Physician
  • Louisville, KY
  • NPI 1548152242
  NPD (past)

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1255703922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074202",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CROWN POINTE DR STE 107",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017280",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER",
            "identifier": "QZZ000000090336",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER ID NUMBER",
            "identifier": "CS2023900271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300039597",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NUMBER",
            "identifier": "000001394037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "3009835",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100387780",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO PROVIDER ID NUMBER",
            "identifier": "286322",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF KENTUCKY PROVIDER ID NUMBER",
            "identifier": "2241647",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02538343",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsea Simmons
• Simplicity Wound Care
• Amanda Jo Simpson
• Danny Allan Simpson
• Mary Allison Simpson, NP
• Kelley Erin Singer, PHARM.D.
• Mathew C. Singer
• Shawn Sizemore, D.C.
• Chance Clabron Skaggs
• Melissa Skaggs, MS, CCC/SLP

• Nurse Practitioner in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.