Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyson Dexter Simmons, ACNPC-AG

Individual provider Gerontology Nurse Practitioner · NPI 1801485685

Tyson Dexter Simmons, ACNPC-AG is a Nurse Practitioner in Austin, Texas. Qualified in 2020, 6 years ago. Practices with US Wound Care Professional Association, a 6-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

2806 Real St
Austin, TX 78722-1715
Phone: (512) 978-8130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1008991 (TX)

Record details

NPI number1801485685
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Us Wound Care Professional Association — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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