Individual provider Active NPI

Geraldine Simplice, APRN

  • Primary Care Nurse Practitioner
  • Norwalk, CT
National Provider Identifier
1841740826
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
6779 Issued in CT
Practice address
120 Connecticut Ave
Norwalk, CT 06854-1525
Phone
(203) 899-1770
Fax
(203) 852-3989
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 6779 CT Primary

Addresses

Primary practice location

120 Connecticut Ave
Norwalk, CT 06854-1525

Mailing address

63 Hickory Way
Stamford, CT 06907-1307
Phone (203) 613-5834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20161206001234 CT Practitioner - Nurse Practitioner 3173803319 Reassigns benefits to 3 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
Norwalk Community Health Center IncGroup PAC ID 6305988510, 29 clinicians
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians
Stamford UC PCGroup PAC ID 2163645391, 8 clinicians

Practice addresses (Care Compare)

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005

28 E Ave
New Canaan, CT 06840-5516
Phone (203) 852-2270

3000 Summer St
Stamford, CT 06905-4311
Phone (203) 969-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6779CTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Community Health Center Inc CurrentSince Oct 15, 2016 Accepting new patients
Stamford UC PC CurrentSince Nov 4, 2023 Accepting new patients

Locations

300 Highland Ave
Norwalk, CT 06854
Phone (203) 854-0524

120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000

1 Park St
Norwalk, CT 06851
Phone (203) 212-6533

55 Chestnut St
Norwalk, CT 06854
Phone (203) 851-1004

3000 Summer St
Stamford, CT 06905
Phone (203) 969-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1841740826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HICKORY WAY",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071307",
            "telephone_number": "203-613-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CONNECTICUT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541525",
            "telephone_number": "203-899-1770",
            "fax_number": "203-852-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPLICE",
        "first_name": "GERALDINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "6779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.