Active NPI
Wendy W Simmons, PA
- Rheumatology Physician
- Wilmington, NC
National Provider Identifier
1609800556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 101041
- Practice address
- 1710 S. 17TH St.
Wilmington, NC 28401-6442 - Phone
- (910) 762-1182
- Fax
- (910) 332-1111
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MS0295635 | NC | |
| Rheumatology Physician | 207RR0500X | 101041 | NC | Primary |
Addresses
Primary practice location
1710 S. 17TH St.
Wilmington, NC 28401-6442
Mailing address
1710 S. 17TH St.
Wilmington, NC 28401-6442
Phone (910) 762-1182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101041 | Other | NC | NC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1710 S 17TH St
Wilmington, NC 28401-6442
Phone (910) 762-1182
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.41 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 41.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaney Radiologists Group PLLC | Past | Accepting new patients |
Interoperability endpoints
- wendy.simmons.p1@direct.caa.nextgenshare.com
Organizations & group practices 2
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.
-
- Rheumatology Physician
- Wilmington, NC
- NPI 1427010081
-
- Specialist
- Wilmington, NC
- NPI 1912982166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609800556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 S. 17TH ST.",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016442",
"telephone_number": "910-762-1182",
"fax_number": "910-332-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 S. 17TH ST.",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016442",
"telephone_number": "910-762-1182",
"fax_number": "910-332-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "WENDY",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "MS0295635",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NC",
"license": "101041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE",
"identifier": "101041",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.