Individual provider Active NPI

Anna-Marie Sims, NP

  • Acute Care Nurse Practitioner
  • Loma Linda, CA
National Provider Identifier
1518418136
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95005247 Issued in CA
Practice address
11234 Anderson St
Room 2562B
Loma Linda, CA 92354-2804
Phone
(909) 588-4419
Fax
(909) 558-4825
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95005247 CA Primary

Addresses

Primary practice location

11234 Anderson St
Room 2562B
Loma Linda, CA 92354-2804

Mailing address

11234 Anderson St
Room 2562B
Loma Linda, CA 92354-2804
Phone (909) 588-4419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200918002002 NY Practitioner - Nurse Practitioner 5799069597 Reassigns benefits to 3 organizations
I20230613002664 CT Practitioner - Nurse Practitioner 5799069597

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

71 Prospect Ave
Hudson, NY 12534-2927
Phone (518) 828-7601

Hospital & facility affiliations

  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11373CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Feb 12, 2024 Accepting new patients
Hudson Valley Cardiovascular Practice, PC CurrentSince Sep 14, 2020 Accepting new patients
Empire Wound Physician Services, PLLC CurrentSince Jan 3, 2022 Accepting new patients
Columbia Memorial Hospital CurrentSince Feb 12, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
Modern Vascular, PLLC PastSince Mar 1, 2021 Accepting new patients

Locations

159 Jefferson Hts
Ste C201
Catskill, NY 12414
Phone (518) 943-1943

28 Kellogg Rd
Cortland, NY 13045
Phone (607) 753-6060

71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

1 Columbia St
Ste 300
Poughkeepsie, NY 12601
Phone (845) 483-0100

4975 Route 9
Staatsburg, NY 12580
Phone (845) 229-9177

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: asims101147@albanymed.direct-ci.com

Organizations & group practices 7

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 6

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1518418136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "ROOM 2562B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-588-4419",
            "fax_number": "909-558-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "ROOM 2562B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-588-4419",
            "fax_number": "909-558-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "ANNA-MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95005247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.