Active NPI
Andrea Nichole Simek, APRN, CNP
- Family Nurse Practitioner
- Virginia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP2804
- Practice address
- 901 9TH Street North
Essentia Health Virginia Medical Arts Clinic
Virginia, MN 55792 - Phone
- (218) 748-7750
- NPI assigned
- Aug 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R158560-5 | MN | |
| Family Nurse Practitioner | 363LF0000X | CNP2804 | MN | Primary |
Addresses
Primary practice location
901 9TH Street North
Essentia Health Virginia Medical Arts Clinic
Virginia, MN 55792
Mailing address
901 9TH Street North
Essentia Health Virginia Medical Arts Clinic
Virginia, MN 55792
Phone (218) 748-7750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5219 Saint John Dr
Orr, MN 55771-8232
Phone (218) 757-3650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP2804 | MN | MD | Family Nurse Practitioner |
| R158560-5 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bois Forte Reservation Tribal Government | Current | Accepting new patients | |
| Bois Forte Reservation Tribal Government | Current | Accepting new patients | |
| Vermilion Pharmacy | Current | Accepting new patients |
Locations
13071 Nett Lake Rd
Orr, MN 55771
Phone (218) 757-3650
5219 Saint John Dr
Orr, MN 55771
Phone (218) 757-3431
1613 Farm Rd S
Tower, MN 55790
Phone (218) 753-2180
1610 Farm Rd S
Tower, MN 55790
Phone (218) 753-2182
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.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nett Lake, MN
- NPI 1073530150
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nett Lake, MN
- NPI 1972666469
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Tower, MN
- NPI 1437691417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513123200000",
"number": "1316252810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 9TH STREET NORTH",
"address_2": "ESSENTIA HEALTH VIRGINIA MEDICAL ARTS CLINIC",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "55792",
"telephone_number": "218-748-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 9TH STREET NORTH",
"address_2": "ESSENTIA HEALTH VIRGINIA MEDICAL ARTS CLINIC",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "55792",
"telephone_number": "218-748-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMEK",
"first_name": "ANDREA",
"middle_name": "NICHOLE",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2017-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R158560-5",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "CNP2804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.