Simone V Collins, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

636838-01 Issued in NY

Practice address

6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081

Phone

(718) 238-2100

Fax

(718) 475-1821

NPI assigned

Dec 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srose1280369@nychhc.direct-ci.com
• Direct secure messaging: simone.collins.1@24989.direct.athenahealth.com
• Direct secure messaging: simone.rose@direct.bayonnemedicalcenter.md

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.

• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328

  NY

  Medicare reassignment NPD
• Start Treatment & Recovery Centers Inc

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1750559712

  NY

  Medicare reassignment NPD
• Startcare, Inc.

  • Mental Health Counselor
  • New York, NY
  • NPI 1235674409
  NPD
• Startcare, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1386895985
  NPD
• Startcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1689625154
  NPD
• Ijkg Opco LLC

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1437620200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382347",
            "telephone_number": "718-260-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046081",
            "telephone_number": "718-238-2100",
            "fax_number": "718-475-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SIMONE",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00877700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "636838-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronda Collins, LMHC
• Ruqayyah Collins, CD
• Sally Jane Collins, LMFT, MA, ATR
• Sarah Collins, MS, CFY-SLP, TSSLD
• Shonette V Collins, OTR/L
• Stephen James Collins, CHIROPRACTOR
• Sydney Collins, PA
• Talea Collins
• Fiona Collinson
• Candacy Collison, MSED

• All providers in Brooklyn, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.