Individual provider Active NPI

Drew Bradley Simmons, NP

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1265428635
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-444A Issued in ID
Practice address
1182 Eastland Dr N
Suite B
Twin Falls, ID 83301-8972
Phone
(208) 733-5117
Fax
(208) 733-5143
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-444A ID Primary
Family Nurse Practitioner 363LF0000X APN00546 NV

Addresses

Primary practice location

1182 Eastland Dr N
Suite B
Twin Falls, ID 83301-8972

Mailing address

1182 Eastland Dr N
Suite B
Twin Falls, ID 83301-8972
Phone (208) 733-5117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20070927000745 ID Practitioner - Nurse Practitioner 4385630441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magic Valley Family Practice, PLLCGroup PAC ID 7911092564, 3 clinicians

Practice addresses (Care Compare)

2167 Village Park Ave
Suite 300
Twin Falls, ID 83301-4175
Phone (208) 733-5117

Hospital & facility affiliations

  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-444AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magic Valley Family Practice, PLLC CurrentSince Sep 27, 2007 Accepting new patients
Asthma & Allergy of Idaho PastSince Jan 17, 2021 Accepting new patients
Asthma & Allergy of Idaho PLLC PastSince Mar 29, 2009 Accepting new patients

Locations

2167 Village Park Ave
Ste 300
Twin Falls, ID 83301
Phone (208) 733-5117

1182 Eastland Dr N
Ste B
Twin Falls, ID 83301
Phone (208) 733-5117

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 1

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265428635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 EASTLAND DR N",
            "address_2": "SUITE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018972",
            "telephone_number": "208-733-5117",
            "fax_number": "208-733-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 EASTLAND DR N",
            "address_2": "SUITE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018972",
            "telephone_number": "208-733-5117",
            "fax_number": "208-733-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DREW",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-444A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN00546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.