Individual provider Active NPI

Jennie Sims, NP-C

  • Family Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1801399688
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175979 Issued in VA
Practice address
11271 Nuckols Rd
Glen Allen, VA 23059
Phone
(276) 245-8635
NPI assigned
Mar 17, 2018
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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 0024175979 VA Primary

Addresses

Primary practice location

11271 Nuckols Rd
Glen Allen, VA 23059

Mailing address

11271 Nuckols Rd
Glen Allen, VA 23059-5502
Phone (276) 245-8635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20181117000191 VA Practitioner - Nurse Practitioner 6002162690 Reassigns benefits to 4 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
Roanoke Valley Healthcare Partners LLCGroup PAC ID 0143490326, 53 clinicians
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

Practice addresses (Care Compare)

12731 Stone Village Way
Midlothian, VA 23113-2722
Phone (804) 379-1500

6296 Mechanicsville Tpke
Mechanicsville, VA 23111-4577
Phone (804) 459-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024175979VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jan 1, 2019 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jan 1, 2019 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Apr 28, 2025 Accepting new patients
Short Pump Family Care, LLC CurrentSince Dec 6, 2024 Accepting new patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Jul 15, 2024 Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Dec 6, 2024 Accepting new patients
Emergency Physicians Immediate Care Center 2 LLC CurrentSince Jul 15, 2024 Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

6296 Mechanicsville Tpke
Mechanicsville, VA 23111
Phone (804) 459-8300

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087

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.

NPI Registry JSON

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1801399688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11271 NUCKOLS RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595502",
            "telephone_number": "276-245-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11271 NUCKOLS RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "276-245-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JENNIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.