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Courtney Marie Simmons

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

11616 Lake Underhill Rd, Orlando, FL 32825-4463

PECOS Enrollment

This provider is enrolled in PECOS as COURTNEY SIMMONS.

Based on the most recent information from CMS, provider Courtney Marie Simmons is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1962044354
Provider Type
Individual
Full Name
Simmons, Courtney Marie
Credential
APRN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/17/2019
Last Updated
11/2/2022

Contact Information

Practice Location

11616 Lake Underhill Rd, Orlando, FL 32825-4463

(407) 482-7788

Unlisted Fax

Mailing Location

11616 Lake Underhill Rd, Orlando, FL 32825-4463

(321) 693-0783

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11015863 Florida
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN9411261 Florida

Courtney Marie Simmons

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Yaghoubi Yeganeh, Pegah

Arroyo, Cristina

Christenson, Heather Mae

Gil-Anderson, Edith

Clarke, Ryan K

Buzon, Derl Raymond

Vargas, Nathalie Ivi

Scott, Latasha Denise

Herringshaw, Michael

Acosta Luna, Wendy Carol