Nicole Lynn Simental, RN- BSN FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95029443 Issued in CA

Practice address

2 James Way Ste 209
Pismo Beach, CA 93449-4976

Phone

(805) 549-6915

Fax

(805) 549-6916

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, CA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Parker Hospital, Parker, CO, CCN 060114
• Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Catholic Health Initiatives Colorado

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Colorado Springs, CO
  • NPI 1356783351
  Medicare reassignment Care Compare group NPD
• Catholic Health Initiatives Colorado

  • Obstetrics & Gynecology Physician
  • Longmont, CO
  • NPI 1780346338
  NPD
• Catholic Health Initiatives Colorado

  • Orthopaedic Surgery Physician
  • Longmont, CO
  • NPI 1891675294
  NPD
• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)
• Catholic Health Initiatives Colorado

  • Neurological Surgery Physician
  • Lakewood, CO
  • NPI 1205846664
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Portercare Adventist Health System

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1083461438
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1265072706
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1386651297
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1457148140
  Care Compare affiliation
• Portercare Adventist Health System

  • Emergency Care Clinic/Center
  • Aurora, CO
  • NPI 1740820356

  Hospital

  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Castle Rock, CO
  • NPI 1912249590
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1922648534
  Care Compare affiliation

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1912650987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY STE 209",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494976",
            "telephone_number": "805-549-6915",
            "fax_number": "805-549-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY STE 209",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494976",
            "telephone_number": "805-549-6915",
            "fax_number": "805-549-6916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11960 Lioness Way",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345640",
            "country_code": "US",
            "telephone_number": "720-321-3500",
            "fax_number": "720-321-3501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMENTAL",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "RN- BSN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0998410-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "F06212007",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95029443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.