Tiffany Simons, NP
NPI 1578653697 · Adult Health Nurse Practitioner · Fredericksburg, VA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tiffany Simons, NP is a Adult Health Nurse Practitioner provider in Fredericksburg, VA (NPI 1578653697).
Provider details
- NPI number
- 1578653697
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 0024165413 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
397 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 382 | $75 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 15 | $91 |
Typical Medicare-allowed amounts for these services range $75–$91 (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 · 4 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Raloxifene Hcl | 30 |
| Tamoxifen Citrate | 22 |
| Clotrimazole/Betamethasone Dipbrand: Clotrimazole-Betamethasone | 21 |
| Anastrozole | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$704 across 10 records (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 (4)
- 9109 Stony Point DrRichmond, VA 23235-1979Phone: (804) 327-2001Fax: (804) 327-8002
- 1001 E Leigh StRichmond, VA 23298-5004Phone: (804) 828-7748Fax: (804) 827-0285
- 9000 Stony Point PkwyRichmond, VA 23235-1900Phone: (804) 560-8965Fax: (804) 560-7349
- 1250 E Marshall StRichmond, VA 23298-5023Phone: (804) 560-8965Fax: (804) 560-7349
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Tiffany Simons's NPI number?
- Tiffany Simons's National Provider Identifier (NPI) is 1578653697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiffany Simons's specialty?
- Tiffany Simons is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tiffany Simons located?
- Tiffany Simons's practice location on file with NPPES is 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467.
- What is Tiffany Simons's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Simons is (540) 373-2244.
- Does Tiffany Simons accept Medicare?
- Tiffany Simons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tiffany Simons's NPI active?
- Yes — Tiffany Simons's NPI (1578653697) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.