MRS. CASSEY DIANE SIMONS – Psychiatric/Mental Health Nurse Practitioner, NPI 1356038368

MRS. CASSEY DIANE SIMONS is a healthcare provider. based in El dorado, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. 223526 (AR). The NPI Number for MRS. CASSEY DIANE SIMONS is 1356038368

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CASSEY DIANE SIMONS
NPI
1356038368
Phone
(870) 639-1117
Address
143 PARKERS RDG
Enumeration Date
19 April 2023
Last Update Date
19 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8708627921
Graduation Year
2018 (8 years ago)
PAC ID
5799121224
Group Practice PAC ID
0941199988
Professional Enrollment ID
I20240307000252
Address ID
AR717304403EL715XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MRS. CASSEY DIANE SIMONS

  • 143 PARKERS RDG

    EL DORADO, AR 717303988

    Phone: (870) 639-1117

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($125).

Total Amount

$319

General + Research + Ownership

Payments

12

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240307000252INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 71730)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941199988View full group profile
NameSpecialtyState
Clinical Social WorkerAR
Mental Health CounselorAR
Mental Health CounselorAR
Nurse PractitionerAR
Mental Health CounselorAR
-AR
Mental Health CounselorAR
-AR
Mental Health CounselorAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What federal number belongs to MRS. CASSEY DIANE SIMONS?
The federal identifier for MRS. CASSEY DIANE SIMONS is NPI 1356038368.
Is MRS. CASSEY DIANE SIMONS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. CASSEY DIANE SIMONS list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for MRS. CASSEY DIANE SIMONS. Clinical services aligned with this taxonomy classification.
Where is MRS. CASSEY DIANE SIMONS's primary listing?
We display El Dorado, Arkansas because that is what the record indicates for MRS. CASSEY DIANE SIMONS.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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