Individual provider Active NPI

Dustin Michael Simpson I, FNP

  • Family Nurse Practitioner
  • Middlesboro, KY
National Provider Identifier
1851075071
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34079 Issued in TN
Practice address
473 N 12TH St
Middlesboro, KY 40965-1133
Phone
(606) 302-5116
Fax
(606) 302-5117
NPI assigned
Jun 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 34079 TN Primary

Addresses

Primary practice location

473 N 12TH St
Middlesboro, KY 40965-1133

Mailing address

936 Iron Works Rd
Harrogate, TN 37752
Phone (865) 279-1671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20241109000426 TN Practitioner - Nurse Practitioner 9234576497 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

291 S Daisy St
Morristown, TN 37813-2362
Phone (423) 616-8315

402 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 919-8244

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 20, 2025 Accepting new patients
Emergency Coverage Services, PC CurrentSince Aug 22, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Emergency Coverage, LLC CurrentSince Aug 22, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

291 S Daisy St
Morristown, TN 37813
Phone (423) 616-8315

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

402 S Broad St
New Tazewell, TN 37825
Phone (423) 919-8244

756 Cosby Hwy
Newport, TN 37821
Phone (423) 237-6546

Organizations & group practices 6

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": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1851075071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 IRON WORKS RD",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "37752",
            "telephone_number": "865-279-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 N 12TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651133",
            "telephone_number": "606-302-5116",
            "fax_number": "606-302-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "DUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.