Active NPI
Jessie Mae Simmon, MD
- Obstetrics & Gynecology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD2020-0647
- Practice address
- 1100 Central Avenue SE Suite 5600
OBGYN Hospitalist
Albuquerque, NM 87106-4920 - Phone
- (505) 841-0922
- Fax
- (505) 563-6380
- NPI assigned
- Apr 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD2020-0647 | NM | Primary |
Addresses
Primary practice location
1100 Central Avenue SE Suite 5600
OBGYN Hospitalist
Albuquerque, NM 87106-4920
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2020-0647 | Other | NM | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234
4705 Montgomery Blvd NE
Suite 301
Albuquerque, NM 87109-1234
Phone (505) 727-4500
85 W Hwy 22
Santo Domingo Pueblo, NM 87052-1283
Phone (505) 465-3060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2020-0647 | NM | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Single Specialty | Current | Accepting new patients |
| Presbyterian Healthcare Services | Single Specialty | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Single Specialty | Current | Accepting new patients |
| Kewa Pueblo Health Corporation | Single Specialty | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Lovelace Health System, LLC | Past | Accepting new patients | |
| Kewa Pueblo Health Corporation | Past | Accepting new patients |
Locations
4705 Montgomery Blvd NE
Ste 301
Albuquerque, NM 87109
Phone (505) 727-4500
1100 Central Ave SE
Ste 5600
Albuquerque, NM 87106
Phone (505) 841-0922
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
201 Cedar St SE
Ste 5600
Albuquerque, NM 87106
Phone (505) 554-7836
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060
Interoperability endpoints
- jsimmon270013@direct.phs.org
- jessie.simmon.p1@direct.kp-hc.nextgenshare.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.
-
- Federally Qualified Health Center (FQHC)
- Santo Domingo Pueblo, NM
- NPI 1467739888
Single Specialty, TX
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Single Specialty
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
Single Specialty
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Single Specialty
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Community/Behavioral Health Agency
- Santo Domingo Pueblo, NM
- NPI 1336659077
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1558715003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVENUE SE SUITE 5600",
"address_2": "OBGYN HOSPITALIST",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064920",
"telephone_number": "505-841-0922",
"fax_number": "505-563-6380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMON",
"first_name": "JESSIE",
"middle_name": "MAE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "MD2020-0647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "MD2020-0647",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.