MRS. KELLY CARTER SIMCOX (FNP-BC) – Family Nurse Practitioner, NPI 1003122755
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,728 NURSE PRACTITIONER in TN
Provider Addresses for MRS. KELLY CARTER SIMCOX (FNP-BC)
PO BOX 632476
CINCINNATI, OH 452632476
Phone: (423) 968-4007
Fax: (423) 652-2590
Type: Mailing
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 952-2111
Type: Mailing
271 MEDICAL PARK BLVD
BRISTOL, TN 376207455
Phone: (423) 274-8600
Type: Location
109 Meadow View Rd Ste 3
Bristol, TN 37620
Phone: (423) 968-4007
Fax: (423) 652-2590
Type: Location
212 MIDWAY MEDICAL PARK
BRISTOL, TN 376201664
Phone: (423) 844-6515
Fax: (423) 652-2590
Type: Mailing
109 MEADOW VIEW RD STE 3
BRISTOL, TN 37620
Phone: (423) 968-4007
Fax: (423) 652-2590
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $383.
Total Amount is formed as General ($383) + Research ($0) + Ownership ($0) = $383.
Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Corium, LLC ($185).
Total Amount
$383
General + Research + Ownership
Payments
21
Total payment records
General Amount
$383
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $185 |
| Merck Sharp & Dohme LLC | $73 |
| Ironshore Pharmaceuticals Inc. | $66 |
| GlaxoSmithKline, LLC. | $37 |
| IRONSHORE PHARMACEUTICALS INC. | $21 |
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: 2025-01-22
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250122001512 | I | Nurse Practitioner | TN | TBD |
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.
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 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | TN | |
| Cardiovascular Disease (Cardiology) | VA | |
| - | TN | |
| - | TN | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | TN | |
| Nurse Practitioner | VA | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | VA |
Reviews
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