DR. CRESETA G SIMMONS (AGNP-C) – Gerontology Nurse Practitioner, NPI 1780242131

DR. CRESETA G SIMMONS (AGNP-C) is a healthcare provider. based in Seattle, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. AP60971067 (WA). The NPI Number for DR. CRESETA G SIMMONS (AGNP-C) is 1780242131

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRESETA G SIMMONS (AGNP-C)
NPI
1780242131
Phone
(206) 709-7112
Address
2101 E YESLER WAY STE 210
Enumeration Date
31 May 2019
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
8006403451
Graduation Year
2019 (7 years ago)
PAC ID
0941532154
Group Practice PAC ID
6103268560
Professional Enrollment ID
I20191021002271
Address ID
WA980334677KI11417NEXX401

Contacts

Other Endpoint
EPIC
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

6,261 NURSE PRACTITIONER in WA

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Provider Addresses for DR. CRESETA G SIMMONS (AGNP-C)

  • East Yesler Way, Little Saigon, Yesler Terrace, Seattle, King County, Washington, 98104, United States

    SEATTLE, WA 981225959

    Phone: (206) 709-7112

    Fax: (206) 299-1633

    Type: Mailing

  • 100, 16th Avenue, Little Saigon, Central District, Seattle, King County, Washington, 98122, United States

    SEATTLE, WA 981225636

    Phone: (206) 299-1900

    Type: Location

  • 500 19th Ave E

    Seattle, WA 981124007

    Phone: (206) 299-1600

    Type: Location

  • PO BOX 1200

    PLEASANT GROVE, UT 840621200

    Phone: (800) 640-3451

    Type: Mailing

  • 11417 124TH AVE NE STE 100

    KIRKLAND, WA 980334677

    Phone: (800) 640-3451

    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: 2019-10-21

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
I20191021002271INurse PractitionerWATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes47485$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes23188$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes10089$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 98122)

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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: 6103268560View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerTX
Nurse PractitionerPA
Nurse PractitionerCO
Nurse PractitionerUT
Nurse PractitionerVA
Nurse PractitionerPA
Nurse PractitionerKY
Nurse PractitionerWA
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for DR. CRESETA G SIMMONS (AGNP-C)?
Save NPI 1780242131 if you need a stable reference for DR. CRESETA G SIMMONS (AGNP-C).
Does this profile mean DR. CRESETA G SIMMONS (AGNP-C) is currently active?
Yes — DR. CRESETA G SIMMONS (AGNP-C) appears active in the national provider directory.
What kind of provider is DR. CRESETA G SIMMONS (AGNP-C)?
The page reflects Gerontology Nurse Practitioner for DR. CRESETA G SIMMONS (AGNP-C). Clinical services aligned with this taxonomy classification.
Where does public data place DR. CRESETA G SIMMONS (AGNP-C)?
The snapshot lists Seattle, Washington for DR. CRESETA G SIMMONS (AGNP-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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