Individual provider Active NPI

Kathryn A Simmons, FNP

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1528384252
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
706448 Issued in TX
Practice address
6200 Regional PLZ
Suite 1675
Abilene, TX 79606-5250
Phone
(325) 795-2100
Fax
(325) 795-2113
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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 706448 TX Primary

Addresses

Primary practice location

6200 Regional PLZ
Suite 1675
Abilene, TX 79606-5250

Mailing address

6200 Regional PLZ
Suite 1675
Abilene, TX 79606-5250
Phone (325) 795-2100

Other identifiers 1

IdentifierTypeStateIssuer
2010002018OtherTXBOARD CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100709000362 TX Practitioner - Nurse Practitioner 2264564285 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasper Emergency Physicians PLLCGroup PAC ID 9133573983, 58 clinicians
Oleander Emergency Medicine Associates PAGroup PAC ID 1759544232, 23 clinicians
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians

Practice addresses (Care Compare)

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181

8801 9TH Ave
Port Arthur, TX 77642-8013
Phone (409) 899-7187

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
89.89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
706448TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oleander Emergency Medicine Associates PA CurrentSince Apr 26, 2022 Accepting new patients
Wise Emergency Medicine Associates PA CurrentSince Jan 24, 2021 Accepting new patients
Southeast Emergency Medicine Associates, PA CurrentSince Nov 9, 2022 Accepting new patients
Jasper Emergency Medicine Associates PA CurrentSince Nov 9, 2022 Accepting new patients
Jefferson Emergency Medicine Associates PA CurrentSince Nov 9, 2022 Accepting new patients
Jefferson Emergency Physicians, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Southwest General Emergency Physicians, PLLC Current Accepting new patients
Jasper Emergency Physicians, PLLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

Organizations & group practices 8

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1528384252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 REGIONAL PLZ",
            "address_2": "SUITE 1675",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065250",
            "telephone_number": "325-795-2100",
            "fax_number": "325-795-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 REGIONAL PLZ",
            "address_2": "SUITE 1675",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065250",
            "telephone_number": "325-795-2100",
            "fax_number": "325-795-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "706448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "2010002018",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.