Individual provider Active NPI

Jamie Michele Simmons, FNP-BC

  • Family Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1508330549
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704235483 Issued in MI
Practice address
3515 Coolidge Rd
East Lansing, MI 48823-8014
Phone
(517) 755-6888
Fax
(517) 657-7759
NPI assigned
Jan 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704235483 MI Primary

Addresses

Primary practice location

3515 Coolidge Rd
East Lansing, MI 48823-8014

Mailing address

721 N Chipman St
Owosso, MI 48867-2143
Phone (989) 413-0423

Other names 1

  • Mrs. Jamie Michele Simmons Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190619001893 MI Practitioner - Nurse Practitioner 1850625229 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704235483MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Narendra R Kumar M.D, PC CurrentSince Oct 27, 2019 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 11, 2023 Accepting new patients
Comprehensive Sleep Diagnostics CurrentSince Mar 14, 2025 Accepting new patients
Sound a Sleep PLC CurrentSince May 12, 2019 Accepting new patients

Locations

3 Hatley Rd
Belfast, ME 04915
Phone (800) 868-1792

3515 Coolidge Rd
East Lansing, MI 48823
Phone (517) 755-6888

3515 Coolidge Rd
Ste A
East Lansing, MI 48823
Phone (517) 755-6888

4701 Towne Centre Rd
Ste 203
Saginaw, MI 48604
Phone (989) 792-2792

4701 Towne Centre Rd
Ste 201
Saginaw, MI 48604
Phone (517) 792-4872

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jamie.simmons.1@15085.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1508330549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N CHIPMAN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672143",
            "telephone_number": "989-413-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238014",
            "telephone_number": "517-755-6888",
            "fax_number": "517-657-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JAMIE",
        "middle_name": "MICHELE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704235483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "SIMMONS",
            "middle_name": "MICHELE",
            "prefix": "MRS.",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.