NICHOLAS SIMPSON – Family Nurse Practitioner, NPI 1174174775

NICHOLAS SIMPSON is a healthcare provider. based in Fenton, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2019034298 (MO). The NPI Number for NICHOLAS SIMPSON is 1174174775

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS SIMPSON
NPI
1174174775
Phone
(636) 343-5223
Address
774 Gravois Bluffs Blvd
Enumeration Date
25 September 2019
Last Update Date
25 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149426464
Graduation Year
2019 (7 years ago)
PAC ID
7517399876
Group Practice PAC ID
7113225541
Professional Enrollment ID
I20191107002435
Address ID
MO630443546BR3440XLNXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for NICHOLAS SIMPSON

  • 774 Gravois Bluffs Blvd

    Fenton, MO 630267716

    Phone: (636) 343-5223

    Type: Location

  • 8857, Ladue Road, Ladue, Saint Louis County, Missouri, 63124, United States

    ST. LOUIS, MO 63124

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 376 Open Payments records for all available years, with a total value of $6,652.

Total Amount is formed as General ($6,652) + Research ($0) + Ownership ($0) = $6,652.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: UCB, Inc. ($1,223).

Total Amount

$6,652

General + Research + Ownership

Payments

376

Total payment records

General Amount

$6,652

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-11-07

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
I20191107002435INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8579$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance2215$0
View full utilization report →

Insurance plans in this area (ZIP 63026)

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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: 7113225541View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
Physician AssistantCA

Reviews

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Frequently asked questions

What identifier follows NICHOLAS SIMPSON across health systems?
The NPI 1174174775 uniquely identifies NICHOLAS SIMPSON in U.S. healthcare data.
Quick check: is NICHOLAS SIMPSON active?
Public NPPES data shows NICHOLAS SIMPSON with an active NPI status right now.
What services align with NICHOLAS SIMPSON's listing?
NICHOLAS SIMPSON's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICHOLAS SIMPSON?
NICHOLAS SIMPSON is associated with Fenton, Missouri in the same public data insurers reference.
Why is information missing for NICHOLAS SIMPSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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