MEDICARE: AMY ELIZABETH SIMKO PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP3156662	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN2353876	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407094865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY ELIZABETH SIMKO PMHNP

Provider Business Mailing Address
First Line	:	303 BEECH ST
Second Line	:
City	:	HOLYOKE
State	:	MA
Zip	:	01040-3968
Country	:	US
Telephone Number	:	413-377-6388
Fax Number	:	413-538-5169

Provider Business Practice Location Address
First Line	:	303 BEECH ST
Second Line	:
City	:	HOLYOKE
State	:	MA
Zip	:	01040-3968
Country	:	US
Telephone Number	:	413-405-1234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2009
Last Update Date	:	10/22/2025

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