Individual provider Active NPI

Desiree Sims, PMHNP

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1285941740
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13415 Issued in WI
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

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2022000274OtherWIANCC PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
363L00000XMedicaidWI

Other names 1

  • Mrs. Desiree Sims Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531000633 WI Practitioner - Nurse Practitioner 8022475466 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
637144TXMDRegistered Nurse
13415WIMDNurse Practitioner
2022000274WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pain Management, SC CurrentSince Jul 5, 2024 Accepting new patients
Behavioral Solutions, Inc. Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 17, 2023 Accepting new patients
Horizon Healthcare, Inc CurrentSince May 1, 2023 Accepting new patients
Horizon Healthcare, Inc Nurse Practitioner CurrentSince May 1, 2023 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.

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

Verify at the official NPI Registry.