Individual provider Active NPI

Steven Christopher Simmons, CRNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1336169960
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9181717 Issued in FL
Practice address
400 NW 26TH St
Miami, FL 33127-4120
Phone
(443) 896-6295
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 R148994 MD
Family Nurse Practitioner 363LF0000X ARNP9181717 FL Primary

Addresses

Primary practice location

400 NW 26TH St
Miami, FL 33127-4120

Mailing address

1613 Country Walk Dr
Fleming Island, FL 32003-8614
Phone (443) 896-6295

Other practice location 1

7855 Argyle Forest Blvd
Ste. 601
Jacksonville, FL 32244-5596
Phone (904) 778-3389

Other identifiers 2

IdentifierTypeStateIssuer
P00285741OtherFLMEDICARE RAILROAD
304523400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240226000292 MD Practitioner - Nurse Practitioner 6709829351 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9181717FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Cares Provider Network PA CurrentSince Feb 21, 2025 Accepting new patients
Porter Cares Provider Network, PA Current Accepting new patients
Porter Cares Maryland, LLC Family CurrentSince Feb 22, 2024 Accepting new patients
Porter Cares, Inc CurrentSince Aug 28, 2022 Accepting new patients

Locations

400 NW 26th St
Miami, FL 33127
Phone (443) 896-6295

300 E Lombard St
Ste 840
Baltimore, MD 21202
Phone (443) 455-9308

Interoperability endpoints

  • Direct secure messaging: steven.simmons.1@28492.direct.athenahealth.com

Organizations & group practices 4

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1336169960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 COUNTRY WALK DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038614",
            "telephone_number": "443-896-6295",
            "fax_number": "904-282-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274120",
            "telephone_number": "443-896-6295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7855 Argyle Forest Blvd",
            "address_2": "Ste. 601",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322445596",
            "country_code": "US",
            "telephone_number": "904-778-3389",
            "fax_number": "904-778-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "STEVEN",
        "middle_name": "CHRISTOPHER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R148994",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9181717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00285741",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304523400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.