Individual provider Active NPI

Andrea Nichole Simek, APRN, CNP

  • Family Nurse Practitioner
  • Virginia, MN
National Provider Identifier
1316252810
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP2804 Issued in MN
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

Updated by the provider on Dec 13, 2017

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000982 MN Practitioner - Nurse Practitioner 0749479293 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CNP2804MNMDFamily Nurse Practitioner
R158560-5MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bois Forte Reservation Tribal Government Current Accepting new patients
Bois Forte Reservation Tribal Government CurrentSince Jul 28, 2024 Accepting new patients
Vermilion Pharmacy CurrentSince Jul 28, 2024 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.

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

Verify at the official NPI Registry.