Kristi Simms, MD - Medicare Internal Medicine in Wilmington, NC

Kristi Simms, MD is a medicare enrolled "Hospitalist" physician in Wilmington, North Carolina. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Wilmington Health Pllc and her current practice location is 1202 Medical Center Dr, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 341-3300.

Kristi Simms is licensed to practice in North Carolina (license number 0500573) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306948492.

Contact Information

Kristi Simms, MD
1202 Medical Center Dr,
Wilmington, NC 28401-7307
(910) 341-3300
(910) 251-8824

Map and Direction




Physician's Profile

Full NameKristi Simms
GenderFemale
SpecialityInternal Medicine
Experience22 Years
Location1202 Medical Center Dr, Wilmington, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristi Simms attended and graduated from East Tennessee State University Quillen College Of Medicine in 2002
  NPI Data:
  • NPI Number: 1306948492
  • Provider Enumeration Date: 09/01/2006
  • Last Update Date: 08/13/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8820032956
  • Enrollment ID: I20050620000134

Medical Identifiers

Medical identifiers for Kristi Simms such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306948492NPI-NPPES
13994OtherNCBCBS NC
P00244490OtherNCRAILROAD MEDICARE
5900884MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 0500573 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New Hanover Regional Medical CenterWilmington, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wilmington Health Pllc6103722509286

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristi Simms allows following entities to bill medicare on her behalf.
Entity NameWilmington Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881632339
PECOS PAC ID: 6103722509
Enrollment ID: O20031208000800

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristi Simms is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristi Simms, MD
1202 Medical Center Dr,
Wilmington, NC 28401-7307

Ph: (910) 341-3300
Kristi Simms, MD
1202 Medical Center Dr,
Wilmington, NC 28401-7307

Ph: (910) 341-3300

Reviews and Comments


Hospitalist Doctors in Wilmington, NC

Li Nichols, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2131 S 17th St, Wilmington, NC 28401
Phone: 910-667-7000    Fax: 910-815-5698
James Adgent, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2131 S 17th St, Wilmington, NC 28401
Phone: 910-667-7000    Fax: 910-815-5698
Christopher Eric Moss, PA
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1814 New Hanover Medical Park Dr, Wilmington, NC 28403
Phone: 910-662-8765    
Benjamin Todd Freasier, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2131 S 17th St, Wilmington, NC 28401
Phone: 910-667-7000    Fax: 910-815-5698
Dr. Oyakhire C Ofori, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1202 Medical Center Dr, Wilmington, NC 28401
Phone: 910-343-7000    Fax: 910-667-7908
Prasheen Piyush Shah, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1202 Medical Center Dr, Wilmington, NC 28401
Phone: 910-341-3300    Fax: 910-251-2067
Dr. Stephen Keith Funkhouser, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1202 Medical Center Drive, Attn: Credentialing, Wilmington, NC 28401
Phone: 910-341-3300    Fax: 910-251-2067

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.