Jennifer C. Simon, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

58536 Issued in WV

Practice address

122 Pinnell Street
Ripley, WV 25271

Phone

(304) 372-2731

Fax

(304) 372-2749

NPI assigned

Aug 15, 2006

Last updated

Sep 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Association

  dba Jackson General Hospital

  • Critical Access Hospital
  • Ripley, WV
  • NPI 1649277476
  Medicare reassignment NPD
• Wirt County Health Services Association Inc

  dba Ripley Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Ripley, WV
  • NPI 1043401730
  Medicare reassignment NPD
• Wirt County Health Services Association, Inc

  dba Parkersburg Family Care

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1760733984
  Medicare reassignment NPD
• Community Health Association

  dba Jackson General Clinic

  • Clinic/Center
  • Ripley, WV
  • NPI 1134417975
  NPD
• Wirt County Health Services Association Inc

  dba West Virginia University at Parkersburg Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1497484091
  NPD
• Wirt County Health Services Association, Inc

  dba RiverValley Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Ravenswood, WV
  • NPI 1356403703
  NPD
• Wirt County Health Services Association, Inc

  dba Wirt County School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, WV
  • NPI 1518191923
  NPD
• Wirt County Health Services Association, Inc

  dba Wirt County Family Care

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, WV
  • NPI 1538179411
  NPD
• Community Health Association

  dba JGH Therapy and SportsCare

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1124369780
  NPD (past)
• Community Health Association

  dba Morad-Hughes Health Center

  • Rural Health Clinic/Center
  • Ripley, WV
  • NPI 1871606517
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1013920347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 99C",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261649703",
            "telephone_number": "304-372-2731",
            "fax_number": "304-372-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PINNELL STREET",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "25271",
            "telephone_number": "304-372-2731",
            "fax_number": "304-372-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JENNIFER",
        "middle_name": "C.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "58536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006265",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "9328803",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WV0245A",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather A Schwartz, PHARMD
• Lucy Kara Shamblin, D.O.
• Ashleigh Sharp, LGSW
• Michael Shawley
• John Simmerman
• Michael S Skaggs, PMHNP
• Alexis Marie Smith
• Cayla Smith
• Cierra Smith, LPN
• Ernestine Smith

• Nurse Practitioner in Ripley, WV
• Providers in Ripley, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.