Individual provider Active NPI

Bobbie J. Simlin, N.P.

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1922296003
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
238171 Issued in TX
Practice address
850 Central Pkwy E
275
Plano, TX 75074-5561
Phone
(972) 668-5400
NPI assigned
Oct 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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 238171 TX Primary

Addresses

Primary practice location

850 Central Pkwy E
275
Plano, TX 75074-5561

Mailing address

850 Central Pkwy E
275
Plano, TX 75074-5561
Phone (972) 668-5400

Other identifiers 4

IdentifierTypeStateIssuer
206105301MedicaidVA
D07564OtherTXMEDICARE RR PALMETTO
DQ5280OtherTXMEDICARE RR PALMETTO
206105302MedicaidTX

Other names 1

  • Mrs. Bobbie J. Simin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090311000455 TX Practitioner - Nurse Practitioner 2264598507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238171TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Physiatry Group LLC CurrentSince Apr 1, 2009 Accepting new patients

Locations

459 Keller Pkwy
Keller, TX 76248
Phone (817) 431-2518

3617 O Hare Dr
Mesquite, TX 75150
Phone (972) 226-0810

850 Central Pkwy E
Ste 275
Plano, TX 75074

6700 Heritage Pkwy
Rockwall, TX 75087
Phone (942) 412-4000

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

Organizations & group practices 1

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": "1192320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1922296003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CENTRAL PKWY E",
            "address_2": "275",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745561",
            "telephone_number": "972-668-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 CENTRAL PKWY E",
            "address_2": "275",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745561",
            "telephone_number": "972-668-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMLIN",
        "first_name": "BOBBIE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-14",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "238171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206105301",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO",
            "identifier": "D07564",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO",
            "identifier": "DQ5280",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206105302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBIE",
            "last_name": "SIMIN",
            "middle_name": "J.",
            "prefix": "MRS.",
            "credential": "N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.