Suzanne Simmons, PMHNP-BC
NPI 1245733450 · Psychiatric/Mental Health Nurse Practitioner · Oceanside, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suzanne Simmons, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Oceanside, CA (NPI 1245733450).
Provider details
- NPI number
- 1245733450
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 685563 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
254 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 215 | $114 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 27 | $171 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 12 | $162 |
Typical Medicare-allowed amounts for these services range $114–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 168 | 43 |
| Clonidine Hcl | 145 | 40 |
| Sertraline Hcl | 122 | 32 |
| Gabapentin | 111 | 32 |
| Bupropion Hclbrand: Bupropion Xl | 98 | 30 |
| Aripiprazole | 92 | 30 |
| Trazodone Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$102 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 150 Valpreda RdSan Marcos, CA 92069-2973Phone: (760) 566-1620
Registry dates
- Enumerated
- 2018-03-14
- Last updated
- 2024-05-16
- Certified
- 2024-05-16
Frequently asked questions
- What is Suzanne Simmons's NPI number?
- Suzanne Simmons's National Provider Identifier (NPI) is 1245733450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Suzanne Simmons's specialty?
- Suzanne Simmons is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Suzanne Simmons located?
- Suzanne Simmons's practice location on file with NPPES is 3609 Ocean Ranch Blvd Ste 208&209, Oceanside, CA 92056-2698.
- What is Suzanne Simmons's phone number?
- The practice phone number listed in the NPPES registry for Suzanne Simmons is (858) 279-1223.
- Does Suzanne Simmons accept Medicare?
- Suzanne Simmons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Suzanne Simmons's NPI active?
- Yes — Suzanne Simmons's NPI (1245733450) is active in the NPPES registry as of the last update on 2024-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.