SIERRA SIMMONS (M.D.) – Blood Banking & Transfusion Medicine Physician, NPI 1750726014

SIERRA SIMMONS (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. C-192196 (CA). The NPI Number for SIERRA SIMMONS (M.D.) is 1750726014

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SIERRA SIMMONS (M.D.)
NPI
1750726014
Phone
(616) 267-2660
Address
35 MICHIGAN ST NE
Enumeration Date
30 April 2013
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7144567004
Graduation Year
2013 (13 years ago)
PAC ID
0547485716
Group Practice PAC ID
1951201185
Professional Enrollment ID
I20241209002718
Address ID
CA928683201OR101XXSXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

573 PATHOLOGY in MI

Provider Addresses for SIERRA SIMMONS (M.D.)

  • 35 MICHIGAN ST NE

    GRAND RAPIDS, MI 49503

    Phone: (616) 267-2660

    Type: Mailing

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 450-3875

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 450-3875

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-09

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
I20241209002718IPathologyCATBD

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 49503)

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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: 1951201185View full group profile
NameSpecialtyState
-CA
Hematology, PathologyCA
-CA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YMO
P A T H O L O G YCA
P A T H O L O G YCA

Reviews

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Frequently asked questions

What federal number belongs to SIERRA SIMMONS (M.D.)?
The federal identifier for SIERRA SIMMONS (M.D.) is NPI 1750726014.
Is SIERRA SIMMONS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SIERRA SIMMONS (M.D.) work in?
You can think of SIERRA SIMMONS (M.D.) as practicing within Blood Banking & Transfusion Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for SIERRA SIMMONS (M.D.)?
We surface Grand Rapids, Michigan for SIERRA SIMMONS (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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