Individual provider Active NPI

Wanda Simmons, DNP

  • Family Nurse Practitioner
  • Ashland, OH
National Provider Identifier
1720539018
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP019767 Issued in OH
Practice address
20 Amberwood Pkwy # 0
Ashland, OH 44805-9765
Phone
(419) 896-4282
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 CNP019767 OH Primary
Acute Care Nurse Practitioner 363LA2100X CNP019767 OH

Addresses

Primary practice location

20 Amberwood Pkwy # 0
Ashland, OH 44805-9765

Mailing address

1025 Brushmore Ave NW
North Canton, OH 44720-6120
Phone (313) 617-8063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161214001325 OH Practitioner - Nurse Practitioner 9335429042 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Kingston Care Partners, LLCGroup PAC ID 1850589102, 11 clinicians
Long-Term Care Pulmonary Consultants, LLCGroup PAC ID 3476960774, 11 clinicians

Practice addresses (Care Compare)

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

4121 King Rd
Sylvania, OH 43560-4438
Phone (419) 517-8200

6624 Pleasant St
Cincinnati, OH 45227-4244
Phone (419) 560-2638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP019767OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Midwest Inc CurrentSince Dec 1, 2024 Accepting new patients
Vpa PC CurrentSince Nov 26, 2020 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Dec 1, 2024 Accepting new patients
Kingston Care Partners, LLC CurrentSince Jun 29, 2025 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Nov 26, 2020 Accepting new patients
Vpa PC Current Accepting new patients
Eventus Ecs - Ohio LLC Family CurrentSince Oct 1, 2025 Accepting new patients

Locations

20 Amberwood Pkwy
#0
Ashland, OH 44805
Phone (419) 896-4282

3515 Massillon Rd
Ste 250
Green, OH 44685
Phone (330) 734-6015

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Interoperability endpoints

  • Direct secure messaging: wanda.simmons@620407976427524.direct.elationemr.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1720539018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 BRUSHMORE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206120",
            "telephone_number": "313-617-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AMBERWOOD PKWY # 0",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059765",
            "telephone_number": "419-896-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "WANDA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP019767",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "CNP019767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.