WANDA SIMMONS (CNP) – Family Nurse Practitioner, NPI 1720539018

WANDA SIMMONS (CNP) is a healthcare provider. based in Tallmadge, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. CNP019767 (OH). The NPI Number for WANDA SIMMONS (CNP) is 1720539018

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
WANDA SIMMONS (CNP)
NPI
1720539018
Phone
(330) 344-3985
Address
33 North Ave
Enumeration Date
20 October 2016
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195178200
Graduation Year
2014 (12 years ago)
PAC ID
9335429042
Group Practice PAC ID
1850589102
Professional Enrollment ID
I20161214001325
Address ID
OH435604438SY4121XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for WANDA SIMMONS (CNP)

  • 33 North Ave

    Tallmadge, OH 442781925

    Phone: (330) 344-3985

    Fax: (330) 634-9433

    Type: Location

  • 3515 Massillon Rd Ste 250

    Uniontown, OH 446857854

    Phone: (330) 896-5651

    Fax: (330) 896-5685

    Type: Location

  • PO BOX 1239

    TROY, MI 480991239

    Phone: (248) 434-6169

    Fax: (855) 618-6655

    Type: Mailing

  • 33, North Avenue, Tallmadge Town Square Historic District, Tallmadge, Summit County, Ohio, 44278, United States

    TALLMADGE, OH 442781925

    Phone: (330) 344-3985

    Fax: (330) 634-9433

    Type: Location

  • 1032 E BRANDON BLVD STE 4567

    BRANDON, FL 335115509

    Phone: (201) 474-5844

    Fax: (807) 804-1324

    Type: Mailing

  • 4974 HIGBEE AVE NW STE 103

    CANTON, OH 447182562

    Phone: (330) 933-4691

    Fax: (855) 873-7557

    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: 2016-12-14

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
I20161214001325INurse PractitionerOHTBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes18496$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes10560$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month5528$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3131$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a2616$0
View full utilization report →

Insurance plans in this area (ZIP 44278)

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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: 1850589102View full group profile
NameSpecialtyState
Nurse PractitionerIN
-OH
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I cross-check WANDA SIMMONS (CNP) using NPI 1720539018?
NPI 1720539018 belongs to WANDA SIMMONS (CNP); compare other details if you need extra assurance.
Is there an active status for WANDA SIMMONS (CNP)?
For scheduling context, WANDA SIMMONS (CNP) is shown as active in the registry.
How would a patient describe WANDA SIMMONS (CNP)'s focus?
For WANDA SIMMONS (CNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is WANDA SIMMONS (CNP) located near Tallmadge?
WANDA SIMMONS (CNP) currently maps to Tallmadge, Ohio in this extract.
When was this NPI issued?
Enumeration for WANDA SIMMONS (CNP) is noted as October 20, 2016 where the registry provides it.

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