EBONYCK SIMMONS (NP) – Nurse Practitioner, NPI 1720508872
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for EBONYCK SIMMONS (NP)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752840853
Phone: (972) 715-5000
Fax: (972) 715-9976
Type: Mailing
Lyndon B Johnson Freeway, Inwood, Dallas, Dallas County, Texas, 75240, United States
DALLAS, TX 75240
Phone: (972) 715-5000
Fax: (972) 715-9976
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 157 Open Payments records for all available years, with a total value of $2,386.
Total Amount is formed as General ($2,386) + Research ($0) + Ownership ($0) = $2,386.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($452).
Total Amount
$2,386
General + Research + Ownership
Payments
157
Total payment records
General Amount
$2,386
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171206002398 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 438 | 201 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 345 | 127 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 83 | 37 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | TX |
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