Individual provider Active NPI

Brenda Michelle Simmons, NP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1285814954
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12987 Issued in TN
Practice address
3320 N Buffalo Dr Ste 106
Las Vegas, NV 89129-7410
Phone
(028) 696-1907
Fax
(702) 869-6199
NPI assigned
Nov 9, 2007
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12987 TN Primary
Family Nurse Practitioner 363LF0000X 824031 NV

Addresses

Primary practice location

3320 N Buffalo Dr Ste 106
Las Vegas, NV 89129-7410

Mailing address

3952 Jemez Pueblo Ave
Las Vegas, NV 89118-0562
Phone (615) 473-6135

Other practice location 1

1181 Grier Dr Ste C
Las Vegas, NV 89119-3746
Phone (888) 888-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071205000544 TN Practitioner - Nurse Practitioner 7618066168 Reassigns benefits to 1 organization
I20200407001011 NV Practitioner - Nurse Practitioner 7618066168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danka K Michaels M D Prof CorpGroup PAC ID 9830175918, 3 clinicians

Practice addresses (Care Compare)

3320 N Buffalo Dr
Suite 106
Las Vegas, NV 89129-7410
Phone 7028696190111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12987TNMDNurse Practitioner
824031NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Management LLC Family CurrentSince Dec 6, 2025 Accepting new patients
Crossroads Medical Group, PLLC CurrentSince Jan 13, 2014 Accepting new patients
Danka K Michaels M D Prof Corp CurrentSince Apr 1, 2025 Accepting new patients
Spinal Pain Relief Center, P.C. Past Accepting new patients
Red Rock Pain Specialists, LLC PastSince Apr 1, 2025 Accepting new patients
Emergency Physicians of Nashville, PLLC Past Accepting new patients

Locations

3320 N Buffalo Dr
Ste 106
Las Vegas, NV 89129
Phone (702) 869-6190

732 S 6th St
Ste N
Las Vegas, NV 89101
Phone (305) 450-4103

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDDBDA/Endpoint/HDDBDA

Organizations & group practices 7

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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1285814954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952 JEMEZ PUEBLO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180562",
            "telephone_number": "615-473-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N BUFFALO DR STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297410",
            "telephone_number": "028-696-1907",
            "fax_number": "702-869-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1181 Grier Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891193746",
            "country_code": "US",
            "telephone_number": "888-888-9930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "BRENDA",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12987",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "824031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.