Madeleine Anne Simmons, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Practice address

39 NW Louisiana Ave
Bend, OR 97701-3203

Phone

(541) 382-8862

Fax

(541) 382-8928

NPI assigned

Nov 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 22, 2022 through Aug 22, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gertler & Gertler P.C.

  • Clinical Psychologist
  • Bend, OR
  • NPI 1831498922
  NPD (past)
• HD Enterprises

  • Physical Therapist
  • Bend, OR
  • NPI 1215605860
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195344000000",
    "number": "1700067790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NW LOUISIANA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013203",
            "telephone_number": "541-382-8862",
            "fax_number": "541-382-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NW LOUISIANA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013203",
            "telephone_number": "541-382-8862",
            "fax_number": "541-382-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MADELEINE",
        "middle_name": "ANNE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2007-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Silverstein, MSW
• Gloria Sim Le, FNP-C, PMHNP-BC
• Julia Beth Simas, MA
• Matthew J Simeti
• Micah Simila, RPH
• Tiffany Simmons
• Torie Bea Simmons, PSS
• Wanda K. Simmons, CRNA
• Patrick L Simning, M.D.
• Natalie Simonson

• Psychiatric/Mental Health Nurse Practitioner in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.