Chaniece Rachaun Simmons, WHNP-BC

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

R225247 Issued in MD

Practice address

101 E Charles St Ste 104
La Plata, MD 20646-4901

Phone

(301) 609-4800

Fax

(240) 901-2958

NPI assigned

May 6, 2024

Last updated

Nov 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: csimmons1223286@direct.umm.edu

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.

• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment Care Compare group NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • La Plata, MD
  • NPI 1891545869
  NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • White Plains, MD
  • NPI 1932959913
  NPD (past)

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1881441905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E CHARLES ST STE 104",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464901",
            "telephone_number": "301-609-4800",
            "fax_number": "240-901-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CHARLES ST STE 104",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464901",
            "telephone_number": "301-609-4800",
            "fax_number": "240-901-2958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 Regency Pl Ste 301",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953088",
            "country_code": "US",
            "telephone_number": "301-609-4964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CHANIECE",
        "middle_name": "RACHAUN",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R225247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelton Family Chiropractic & Physical Therapy, LLC
• Thomas Shelton, D.C.
• Nathan Shreckengost
• Emily Siegel, M.S., CCC-SLP
• Sightrite Medical MD LLC
• Khiana Simmons
• Takelia Simmons
• Sharita Simon
• Edward Calvin Simpson, CSA
• Joginderpal Singh

• Obstetrics & Gynecology Nurse Practitioner in La Plata, MD
• Providers in La Plata, MD by specialty
• Obstetrics & Gynecology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.