Individual provider Active NPI

Jenna Lynn Simmons, FNP-C

  • Family Nurse Practitioner
  • Elkins, WV
National Provider Identifier
1801318019
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
86502 Issued in WV
Practice address
103 Cardinal Dr
Elkins, WV 26241-9573
Phone
(304) 614-9836
NPI assigned
Jul 10, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 86502 WV Primary

Addresses

Primary practice location

103 Cardinal Dr
Elkins, WV 26241-9573

Mailing address

103 Cardinal Dr
Elkins, WV 26241-9573
Phone (304) 614-9836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20220506001499 WV Practitioner - Nurse Practitioner 1153708490 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

1013 N Randolph Ave
Elkins, WV 26241-3969
Phone (681) 342-3000

120 Medical Park Dr
Suite 100
Bridgeport, WV 26330-9013
Phone (681) 342-3490

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1842

916 W Main St
Bridgeport, WV 26330-1651
Phone (304) 842-1034

PO Box
Suite 775
Morgantown, WV 26507-0775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86502WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Hospital Center, Inc. CurrentSince Sep 9, 2025 Accepting new patients
Davis Memorial Hospital CurrentSince Apr 1, 2022 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince Nov 29, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 7, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 7, 2025 Accepting new patients
Davis Memorial Hospital CurrentSince Apr 1, 2022 Accepting new patients
St Josephs Hospital of Buckhannon Past Accepting new patients
United Hospital Center Past Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000

10 Amalia Dr
Ste C1
Buckhannon, WV 26201
Phone (304) 460-7461

1013 N Randolph Ave
Elkins, WV 26241
Phone (681) 342-3000

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

100 Stoney Hill Rd
Fairmont, WV 26554
Phone (304) 285-5400

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 8

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 1

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801318019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CARDINAL DR",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419573",
            "telephone_number": "304-614-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARDINAL DR",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419573",
            "telephone_number": "304-614-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "86502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.