Individual provider Active NPI

Colton N Simbeck, NP

  • Family Nurse Practitioner
  • Humboldt, TN
National Provider Identifier
1902552185
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31440 Issued in TN
Practice address
2634 N Central Ave
Humboldt, TN 38343-1534
Phone
(731) 324-1526
Fax
(731) 324-1521
NPI assigned
Feb 25, 2022
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31440 TN Primary
Emergency Registered Nurse 163WE0003X 235083 TN

Addresses

Primary practice location

2634 N Central Ave
Humboldt, TN 38343-1534

Mailing address

121 Huxley Rd
Martin, TN 38237-3878
Phone (931) 242-7619

Other practice location 1

121 Huxley Rd
Martin, TN 38237-3878
Phone (931) 242-7619

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
I20220418002303 TN Practitioner - Nurse Practitioner 4688061815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

161 Mount Pelia Rd
Martin, TN 38237-3811
Phone (731) 261-0440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235083TNMDEmergency Registered Nurse
31440TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 4, 2022 Accepting new patients
WT Medical Associates Family CurrentSince Dec 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 4, 2022 Accepting new patients
WT Medical Associates CurrentSince Dec 1, 2023 Accepting new patients

Locations

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

2634 N Central Ave
Humboldt, TN 38343
Phone (731) 324-1526

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1902552185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HUXLEY RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373878",
            "telephone_number": "931-242-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 N CENTRAL AVE",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383431534",
            "telephone_number": "731-324-1526",
            "fax_number": "731-324-1521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Huxley Rd",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "TN",
            "postal_code": "382373878",
            "country_code": "US",
            "telephone_number": "931-242-7619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMBECK",
        "first_name": "COLTON",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31440",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TN",
            "license": "235083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.