Individual provider Active NPI

Tyson Dexter Simmons, ACNPC-AG

  • Gerontology Nurse Practitioner
  • Austin, TX
National Provider Identifier
1801485685
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1008991 Issued in TX
Practice address
2806 Real St
Austin, TX 78722-1715
Phone
(512) 978-8130
NPI assigned
Jan 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1008991 TX Primary

Addresses

Primary practice location

2806 Real St
Austin, TX 78722-1715

Mailing address

1111 E Cesar Chavez St
Austin, TX 78702-4209
Phone (512) 978-8130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210602002556 TX Practitioner - Nurse Practitioner 5395144802 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Wound Care Professional AssociationGroup PAC ID 3173090156, 6 clinicians
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians

Practice addresses (Care Compare)

Fort Worth, TX 76110
Phone (877) 969-6863

1105 Rock Prairie Rd
College Sta, TX 77845-8344
Phone (337) 991-9276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services TX PLLC CurrentSince Sep 4, 2024 Accepting new patients
Careconnectmd Texas PA CurrentSince May 1, 2024 Accepting new patients
Curana Health Medical Group LLC CurrentSince Sep 4, 2024 Accepting new patients
Travis County Healthcare District PastSince Sep 5, 2021 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

2806 Real St
Austin, TX 78722
Phone (512) 326-1141

5980 Kyle Pkwy
Kyle, TX 78640
Phone (512) 262-0821

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1801485685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E CESAR CHAVEZ ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024209",
            "telephone_number": "512-978-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 REAL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221715",
            "telephone_number": "512-978-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TYSON",
        "middle_name": "DEXTER",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-15",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1008991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.