Michelle Simmons, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9106990 Issued in FL

Practice address

6311 S Pointe Blvd
Suite 400
Fort Myers, FL 33919-4901

Phone

(239) 275-0040

Fax

(239) 275-4273

NPI assigned

Dec 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1497090351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 S POINTE BLVD",
            "address_2": "SUITE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194901",
            "telephone_number": "239-275-0040",
            "fax_number": "239-275-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 S POINTE BLVD",
            "address_2": "SUITE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194901",
            "telephone_number": "239-275-0040",
            "fax_number": "239-275-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Simic
• Brian Simmons, CRNA
• Chad Franklin Simmons, D.P.M.
• Danesha Simmons
• Jacqueline Simmons
• Walter Simmons, DO
• Allen Steven Simms, LAT, ATC
• Amanda Fay Simone, APRN
• Amy Simone
• Anthony Simone

• Medical Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.