Active NPI
Erica Dawn Simpkins, PA-C
- Medical Physician Assistant
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9106460
- Practice address
- 875 Military TRL Ste 200
Jupiter, FL 33458-5700 - Phone
- (561) 746-2411
- NPI assigned
- Apr 4, 2012
- Last updated
- Aug 4, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9106460 | FL | Primary |
Addresses
Primary practice location
875 Military TRL Ste 200
Jupiter, FL 33458-5700
Mailing address
6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2000
Other practice location 1
5820 S Eastern Ave
Las Vegas, NV 89119-3002
Phone (702) 737-1880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619233665 | Medicaid | NV | |
| PA1516 | Other | NV | STATE NV LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ESimpkins@conviva.eclnicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106460 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metcare of Florida, Inc | Current | Accepting new patients |
Locations
875 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 746-2411
6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986
Phone (772) 877-3591
1700 SE Hillmoor Dr
Ste 500
Port St Lucie, FL 34952
Phone (772) 335-3200
Interoperability endpoints
- esimpkins@conviva.eclnicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Conviva Care Center
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
-
dba Conviva Care Center
- Internal Medicine Physician
- Port Orange, FL
- NPI 1619433869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1619233665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262051",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 MILITARY TRL STE 200",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585700",
"telephone_number": "561-746-2411"
}
],
"practiceLocations": [
{
"address_1": "5820 S Eastern Ave",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891193002",
"country_code": "US",
"telephone_number": "702-737-1880",
"fax_number": "702-737-5988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPKINS",
"first_name": "ERICA",
"middle_name": "DAWN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9106460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619233665",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE NV LICENSE",
"identifier": "PA1516",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ESimpkins@conviva.eclnicaldirectplus.com",
"affiliation": "N",
"address_1": "875 Military Trl Ste 200",
"city": "Jupiter",
"state": "FL",
"country_code": "US",
"postal_code": "334585700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.