Michelle Leigh Simmons, APN - Medicare Nurse Practitioner in Edison, NJ

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Michelle Leigh Simmons, APN is a medicare enrolled "Nurse Practitioner - Family" in Edison, New Jersey. Her current practice location is 26 Main St, Edison, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 521-4746.

Michelle Leigh Simmons is licensed to practice in New Jersey (license number 26NJ01100900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578155107.

Contact Information

Michelle Leigh Simmons, APN
26 Main St,
Edison, NJ 08837-3418
(609) 521-4746
(856) 250-1812

Map and Direction




Provider's Profile

Full NameMichelle Leigh Simmons
GenderFemale
SpecialityNurse Practitioner - Family
Location26 Main St, Edison, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578155107
  • Provider Enumeration Date: 02/04/2021
  • Last Update Date: 12/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466825138
  • Enrollment ID: I20230228000340

Medical Identifiers

Medical identifiers for Michelle Leigh Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578155107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ01100900 (New Jersey)Primary

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. Michelle Leigh Simmons allows following entities to bill medicare on her behalf.
Entity NameVmd Primary Providers Of New Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952992455
PECOS PAC ID: 6608284674
Enrollment ID: O20210413001435
Entity NamePatient Care Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891362364
PECOS PAC ID: 8022413459
Enrollment ID: O20210824001982

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. Michelle Leigh Simmons 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
Michelle Leigh Simmons, APN
684 Nottingham Dr,
Vineland, NJ 08360-4335

Ph: (856) 842-2127		Michelle Leigh Simmons, APN
26 Main St,
Edison, NJ 08837-3418

Ph: (609) 521-4746

Reviews and Comments


Nurse Practitioner Nurses in Edison, NJ

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Phone: 908-769-9494    
Dr. Ricky James Jewell, DNP, PMHNP
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Dr. Carol Anna Dinnocenzio, DNP, APN
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Practice Location: 2 Lincoln Hwy Ste 301, Edison, NJ 08820
Phone: 732-549-7380    
Miss Melissa Sunga-martin, FNP-BC
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Practice Location: 1964 Oak Tree Rd, Edison, NJ 08820
Phone: 732-635-0050    

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.