Active NPI
Desiree Sims, PMHNP
- Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 13415
- Practice address
- 6200 W Center St
Milwaukee, WI 53210-2159 - Phone
- (414) 444-8670
- Fax
- (414) 444-8678
- NPI assigned
- Sep 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2022000274 | WI | |
| Nurse Practitioner | 363L00000X | 13415 | WI | Primary |
| Registered Nurse | 163W00000X | 637144 | TX |
Addresses
Primary practice location
6200 W Center St
Milwaukee, WI 53210-2159
Mailing address
8303 W North Ave Apt 4
Wauwatosa, WI 53213-1666
Phone (414) 731-5862
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022000274 | Other | WI | ANCC PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER |
| 363L00000X | Medicaid | WI |
Other names 1
- Mrs. Desiree Sims
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 637144 | TX | MD | Registered Nurse |
| 13415 | WI | MD | Nurse Practitioner |
| 2022000274 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pain Management, SC | Current | Accepting new patients | |
| Behavioral Solutions, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Horizon Healthcare, Inc | Current | Accepting new patients | |
| Horizon Healthcare, Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420
5408 W Burleigh St
Milwaukee, WI 53210
Phone (414) 445-6520
2115 E Woodstock Pl
Milwaukee, WI 53202
Phone (414) 271-1020
4650 S Howell Ave
Milwaukee, WI 53207
Phone (414) 294-0144
6200 W Center St
Milwaukee, WI 53210
Phone (414) 444-8670
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Milwaukee, WI
- NPI 1174633119
-
- Interventional Pain Medicine Physician
- Milwaukee, WI
- NPI 1619968120
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1225052830
Nurse Practitioner
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Nurse Practitioner, WI
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1639193212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1285941740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 W NORTH AVE APT 4",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131666",
"telephone_number": "414-731-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 W CENTER ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102159",
"telephone_number": "414-444-8670",
"fax_number": "414-444-8678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "DESIREE",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2024-09-26",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "2022000274",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "13415",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "637144",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER",
"identifier": "2022000274",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363L00000X",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DESIREE",
"last_name": "SIMS",
"prefix": "MRS.",
"credential": "NURSE PRACTITIONER",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.