Individual provider Active NPI

Aleta Simmons, M.D.

  • Dermatology Physician
  • Nashville, TN
National Provider Identifier
1366708745
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
58342 Issued in TN
Practice address
6339 Charlotte Pike # 721
Nashville, TN 37209-2926
Phone
(615) 437-5001
Fax
(615) 919-9937
NPI assigned
Apr 10, 2012
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 58342 TN Primary

Addresses

Primary practice location

6339 Charlotte Pike # 721
Nashville, TN 37209-2926

Mailing address

6339 Charlotte Pike # 712
Nashville, TN 37209-2926
Phone (615) 437-5001

Other practice location 1

Vanderbilt University Dermatology
719 Thompson Lane, Suite 26300
Nashville, TN 37204
Phone (615) 322-0845

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALETA.SIMMONS@509256952250372.direct.elationemr.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, AL, WI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230327001923 ND Practitioner - Dermatology 9133460116 Reassigns benefits to 1 organization
I20231016003141 AL Practitioner - Dermatology 9133460116
I20240306000756 WI Practitioner - Dermatology 9133460116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loyola University of Chicago, Stritch School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

4656 40TH Ave S
Fargo, ND 58104-4397

752 N High Point Rd
Madison, WI 53717-2236
Phone (608) 824-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions76
Removal or shaving of skin growth1-10
Skin biopsy40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58342TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc Dermatology CurrentSince Feb 21, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Mar 6, 2023 Accepting new patients
Dean Health Systems, Inc. CurrentSince Feb 21, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Mar 6, 2023 Accepting new patients
Vanderbilt University Dermatology PastSince Jan 21, 2019 Accepting new patients

Locations

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

752 N High Point Rd
Madison, WI 53717
Phone (608) 824-4000

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: aleta.simmons@509256952250372.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1366708745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 CHARLOTTE PIKE # 712",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092926",
            "telephone_number": "615-437-5001",
            "fax_number": "615-919-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 CHARLOTTE PIKE # 721",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092926",
            "telephone_number": "615-437-5001",
            "fax_number": "615-919-9937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vanderbilt University Dermatology",
            "address_2": "719 Thompson Lane, Suite 26300",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37204",
            "country_code": "US",
            "telephone_number": "615-322-0845",
            "fax_number": "615-343-3947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ALETA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "58342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALETA.SIMMONS@509256952250372.direct.elationemr.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6339 Charlotte Pike # 721",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372092926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.