Individual provider Active NPI

Gabriel Sims, ARNP

  • Family Nurse Practitioner
  • Richland, WA
National Provider Identifier
1659751279
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP 60598228 Issued in WA
Practice address
1776 Fowler St
Richland, WA 99352-4833
Phone
(509) 735-9355
Fax
(509) 222-1151
NPI assigned
Jun 9, 2015
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP 60598228 WA Primary
Registered Nurse 163W00000X RN00141942 WA

Addresses

Primary practice location

1776 Fowler St
Richland, WA 99352-4833

Mailing address

3290 W 19TH Ave
Kennewick, WA 99337-2318

Other practice location 1

3290 W 19th Ave
Kennewick, WA 99337-2318
Phone (509) 942-2485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160226000875 WA Practitioner - Nurse Practitioner 8426353558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Collision and Injury Care LLCGroup PAC ID 5991969370, 6 clinicians

Practice addresses (Care Compare)

1776 Fowler St
Richland, WA 99352-4833
Phone 50973593551502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
68.19
Improvement activities
40
Cost
88.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP 60598228WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Basin Pain Management Institute, PLLC CurrentSince Feb 6, 2020 Accepting new patients

Locations

1305 Fowler St
Ste 1B
Richland, WA 99352
Phone (509) 585-6318

Interoperability endpoints

  • Direct secure messaging: gabriel.sims.1@29545.direct.athenahealth.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.

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1659751279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 W 19TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524833",
            "telephone_number": "509-735-9355",
            "fax_number": "509-222-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3290 W 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993372318",
            "country_code": "US",
            "telephone_number": "509-942-2485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "GABRIEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP 60598228",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00141942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.