Individual provider Active NPI

Andrea Nicole Simmons, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1477100584
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-105519 Issued in AL
Practice address
3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone
(205) 510-5000
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-105519 AL Primary
Nurse Practitioner 363L00000X 1-105519 AL

Addresses

Primary practice location

3980 Colonnade Pkwy
Birmingham, AL 35243-2382

Mailing address

PO Box 11407
Birmingham, AL 35202-1407

Other practice location 1

1022 1st St N Ste 500
Alabaster, AL 35007-8740
Phone (205) 663-5775

Other practice location 2

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (205) 663-5775

Other names 1

  • Andrea Nicole Thomas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heartsouthpc@302.direct.myezyaccess.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200521002997 AL Practitioner - Nurse Practitioner 6002237328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

209 W Spring St
Suite 104
Sylacauga, AL 35150-2974
Phone (205) 510-5000

Hospital & facility affiliations

  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-105519ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart South Cardiovascular Group, P.C. CurrentSince Jan 15, 2020 Accepting new patients
Southeastern Cardiology Consultants CurrentSince Jan 3, 2022 Accepting new patients
Baptist Health Centers, LLC CurrentSince Mar 20, 2024 Accepting new patients
Baptist Health Centers LLC CurrentSince Mar 20, 2024 Accepting new patients

Locations

1022 1st St N
Ste 500
Alabaster, AL 35007
Phone (205) 663-5775

3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 795-5390

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

2022 Brookwood Medical Ctr Dr
Ste 412
Birmingham, AL 35209
Phone (205) 870-4343

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

209 W Spring St
Ste 104
Sylacauga, AL 35150
Phone (256) 245-5833

Interoperability endpoints

  • Direct secure messaging: heartsouthpc@302.direct.myezyaccess.com
  • FHIR API: https://api.platform.athenahealth.com/23210/brand/1/csg/1/fhir/r4
  • Direct secure messaging: asimmons15614@baptisthealthaldirect.org

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.

Hospital & facility affiliations 2

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1477100584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352021407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432382",
            "telephone_number": "205-510-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 1st St N Ste 500",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078740",
            "country_code": "US",
            "telephone_number": "205-663-5775",
            "fax_number": "205-664-2112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Lay Dam Rd",
            "address_purpose": "LOCATION",
            "city": "Clanton",
            "state": "AL",
            "postal_code": "350458344",
            "country_code": "US",
            "telephone_number": "205-663-5775",
            "fax_number": "205-739-2049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-105519",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-105519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heartsouthpc@302.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1022 1st St N Ste 500",
            "city": "Alabaster",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350078740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "THOMAS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.