DR. CAROLYN ELIZABETH SIMMONS (M.D.) – Family Medicine Physician, NPI 1417937673

DR. CAROLYN ELIZABETH SIMMONS (M.D.) is a healthcare provider. based in Roseburg, Oregon. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD60385919 (WA). The NPI Number for DR. CAROLYN ELIZABETH SIMMONS (M.D.) is 1417937673

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLYN ELIZABETH SIMMONS (M.D.)
NPI
1417937673
Phone
(541) 672-8533
Address
2371 NE STEPHENS ST STE 200
Enumeration Date
21 January 2006
Last Update Date
1 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5418391345
Graduation Year
1991 (35 years ago)
PAC ID
0840227880
Group Practice PAC ID
8921099474
Professional Enrollment ID
I20181116000678
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for DR. CAROLYN ELIZABETH SIMMONS (M.D.)

  • Northeast Stephens Street, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974701399

    Phone: (541) 672-8533

    Type: Mailing

  • Cow Creek Wellness Center, 480, Wartahoo Lane, Canyonville, Douglas County, Oregon, 97417, United States

    CANYONVILLE, OR 974179683

    Phone: (541) 839-1345

    Fax: (855) 670-1791

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 97470)

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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: 8921099474View full group profile
NameSpecialtyState
P O D I A T R YOR
-OR
-OR
Nurse PractitionerOH
P S Y C H I A T R YND
Registered Dietitian Or Nutrition ProfessionalCO
P S Y C H I A T R YOR
Clinical Social WorkerMI
-OR
Family PracticeOH

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Frequently asked questions

What unique ID ties claims to DR. CAROLYN ELIZABETH SIMMONS (M.D.)?
NPI 1417937673 is assigned to DR. CAROLYN ELIZABETH SIMMONS (M.D.) under the national enumeration system.
Is DR. CAROLYN ELIZABETH SIMMONS (M.D.) currently active in the NPI registry?
CMS-published data lists DR. CAROLYN ELIZABETH SIMMONS (M.D.) as an active registrant.
What does DR. CAROLYN ELIZABETH SIMMONS (M.D.) treat or focus on?
Patients typically see DR. CAROLYN ELIZABETH SIMMONS (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. CAROLYN ELIZABETH SIMMONS (M.D.)?
We surface Roseburg, Oregon for DR. CAROLYN ELIZABETH 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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