Raven Simmons, MD
Student in an Organized Health Care Education/Training Program in Phoenixville, PA. Individual provider (NPI-1).
NPI number1497548853
StatusActive
Last updated in NPPESMay 27, 2025
Details
- NPI
- 1497548853
- Entity type
- Individual (NPI-1)
- Name
- Raven Simmons
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2025
- Certification date
- May 27, 2025
- Last updated
- May 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
140 Nutt RdPhoenixville, PA 19460-3906
Phone 610-983-1000
Mailing address
140 Nutt RdPhoenixville, PA 19460-3906
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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