Individual provider Active NPI

Rachel Nicole Simmons, M.D.

  • Dermatology Physician
  • Louisville, CO
National Provider Identifier
1437393485
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
51962 Issued in CO
Practice address
1056 S 88TH St
Louisville, CO 80027-9460
Phone
(034) 426-6473
Fax
(303) 442-2696
NPI assigned
Apr 21, 2009
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 51962 CO Primary

Addresses

Primary practice location

1056 S 88TH St
Louisville, CO 80027-9460

Mailing address

1056 S 88TH St
Louisville, CO 80027-9460
Phone (303) 442-6647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130625000587 CO Practitioner - Dermatology 7911146865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Boulder PCGroup PAC ID 3678668761, 13 clinicians

Practice addresses (Care Compare)

1056 S 88TH St
Louisville, CO 80027-9460
Phone 3034426647309

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions1186
Removal of nail tissue1-10
Removal or shaving of skin growth29
Skin biopsy426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51962COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Boulder, PC Dermatology CurrentSince May 2, 2013 Accepting new patients

Locations

2880 Folsom St
Ste 200
Boulder, CO 80304
Phone (303) 442-6647

4840 Riverbend Rd
Ste 100
Boulder, CO 80301
Phone (303) 415-4045

36 S 18th Ave
Ste H
Brighton, CO 80601
Phone (303) 442-6647

1056 S 88th St
Louisville, CO 80027
Phone (303) 442-6647

776 W Eisenhower Blvd
Loveland, CO 80537
Phone 3034426647309

11990 Grant St
Ste 300
Northglenn, CO 80233
Phone (303) 442-6647

905 W 124th Ave
Ste 170
Westminster, CO 80234
Phone (303) 442-6647

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1437393485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279460",
            "telephone_number": "303-442-6647",
            "fax_number": "303-442-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279460",
            "telephone_number": "034-426-6473",
            "fax_number": "303-442-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "RACHEL",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "51962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.