Annette Marie Simmons, PMHNP-BC, FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.023927 Issued in IL

Practice address

1407 S River Rd
Des Plaines, IL 60018-1759

Phone

(224) 285-6783

Fax

(312) 872-7935

NPI assigned

Oct 7, 2021

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

Other names 1

• Annette Marie Kowalczyk Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Merit-based Incentive Payment System (MIPS)

Final score

71.16 of 100Reported as group

Quality

26.67

Improvement activities

40

Cost

68.31

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chicago Rehabilitation Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Orland Park, IL
  • NPI 1437600632

  Nurse Practitioner

  Medicare reassignment NPD
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946
  Medicare reassignment NPD
• Shifa Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1770858425
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1508528514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181759",
            "telephone_number": "224-285-6783",
            "fax_number": "312-872-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181759",
            "telephone_number": "224-285-6783",
            "fax_number": "312-872-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.023927",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.023927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "KOWALCZYK",
            "middle_name": "MARIE",
            "credential": "DNP, APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Enija Shrestha Shiwakoti, MPH,FNP-BC
• Samon Siddique, BCBA
• Alisa Sieg, LSW
• Signature Pediatrics LLC
• Alexandra Katherine Simeur, SLP
• Allen Bruce Simon, OD
• Toni J Simon, LCPC
• Inder P Singh, M.D.
• Bentley Fisher Sizer, MSN, APRN, FNP-C
• Jodi Lynn Sklansky, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.