Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Simmons

Individual provider Family Nurse Practitioner · NPI 1063195543

Kevin Simmons is a Nurse Practitioner in Banning, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023

Practice location Address checks out

264 N Highland Springs Ave Ste 1B
Banning, CA 92220-3045
Phone: (951) 769-7191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95025928 (CA)

Record details

NPI number1063195543
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 10, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address264 N Highland Springs Ave Ste 1b, Banning, CA 92220-3045

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Banning