TATYANA SIMUTKIN (CRNP) – Family Nurse Practitioner, NPI 1356875884

TATYANA SIMUTKIN (CRNP) is a healthcare provider. based in Reading, Pennsylvania. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. SP017424 (PA). The NPI Number for TATYANA SIMUTKIN (CRNP) is 1356875884

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TATYANA SIMUTKIN (CRNP)
NPI
1356875884
Phone
(866) 501-5962
Address
1623 Morgantown Rd
Enumeration Date
11 April 2017
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7175698773
Graduation Year
2016 (10 years ago)
PAC ID
4284990524
Group Practice PAC ID
6103719240
Professional Enrollment ID
I20171102001157
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

Provider Addresses for TATYANA SIMUTKIN (CRNP)

  • 1623 Morgantown Rd

    Reading, PA 196079455

    Phone: (866) 501-5962

    Type: Location

  • 1217 BRIGHTON AVE

    LITITZ, PA 175436500

    Phone: (717) 799-8398

    Type: Mailing

  • 640 E OREGON RD

    LITITZ, PA 175439202

    Phone: (717) 569-8773

    Type: Location

  • 53 MICHAEL LN APT 3

    DENVER, PA 175179247

    Phone: (717) 799-8398

    Type: Mailing

  • 20 SHELBOURNE RD

    READING, PA 196063675

    Phone: (610) 404-3200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $796.

Total Amount is formed as General ($796) + Research ($0) + Ownership ($0) = $796.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: EMD Serono, Inc. ($315).

Total Amount

$796

General + Research + Ownership

Payments

22

Total payment records

General Amount

$796

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

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: 2017-11-02

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
I20171102001157INurse PractitionerPATBD

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 19607)

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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: 6103719240View full group profile
NameSpecialtyState
N E U R O L O G YPA
-PA

Reviews

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Frequently asked questions

What number should I use to identify TATYANA SIMUTKIN (CRNP) for billing?
Administrative and clinical systems typically use NPI 1356875884 for TATYANA SIMUTKIN (CRNP).
Is TATYANA SIMUTKIN (CRNP) currently accepting referrals based on NPI status?
Registry metadata lists TATYANA SIMUTKIN (CRNP) as active.
What services align with TATYANA SIMUTKIN (CRNP)'s listing?
TATYANA SIMUTKIN (CRNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to TATYANA SIMUTKIN (CRNP)?
The directory associates TATYANA SIMUTKIN (CRNP) with Reading, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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