Individual ProviderMandie SimpsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6801 Dixie Hwy Ste 135, Louisville, KY 40258-3952(502) 791-8700(512) 584-8404PECOS EnrollmentBased on the most recent information from CMS, provider Mandie Simpson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1275405748Provider TypeIndividualFull NameSimpson, MandieCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date9/23/2025Last Updated11/21/2025Contact InformationPractice LocationPractice Address6801 Dixie Hwy Ste 135, Louisville, KY 40258-3952Phone(502) 791-8700Fax(502) 742-8523Mailing LocationMailing Address7951 Shoal Creek Blvd Ste 300, Austin, TX 78757-7582Phone(512) 584-8404Fax(737) 377-0442Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4045954KentuckyCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense1170615Kentucky