WANDA SIMMONS CNP NPI 1720539018

NPI Information

  • NPI: 1720539018
  • Provider Name: WANDA SIMMONS, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4974 HIGBEE AVE NW STE 103
    CANTON, OH
    ZIP 44718
  • Phone: (330) 933-4691

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NPI Details

Wanda Simmons, CNP is a family nurse practitioner in Canton, OH with 11 years of experience. Wanda Simmons, CNP NPI is 1720539018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4974 HIGBEE AVE NW STE 103
CANTON, OH
ZIP 44718-562
Phone: (330) 933-4691
Fax: (855) 873-7557

The NPI 1720539018 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • New patient home visit, typically 75 minutes (HCPCS:99345)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Advance care planning, first 30 minutes (HCPCS:99497)

The enumeration date for this NPI number is 10/20/2016 and was last updated on 6/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyCNP019767OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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