Individual provider Active NPI

Nellie Simon, DNP

  • Family Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1104375922
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A143864 Issued in IA
Practice address
1525 Grand Ave
West Des Moines, IA 50265-3412
Phone
(515) 226-0112
Fax
(515) 223-0422
NPI assigned
Sep 22, 2016
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A143864 IA Primary

Addresses

Primary practice location

1525 Grand Ave
West Des Moines, IA 50265-3412

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 226-0112

Other names 1

  • Nellie Grace Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20161101000242 IA Practitioner - Nurse Practitioner 3173801859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1525 Grand Ave
West Des Moines, IA 50265-3412
Phone (515) 226-0112

1601 NW 114TH St
Clive, IA 50325-7036

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

800 E 1St St
Ankeny, IA 50021-2077

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A143864IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc CurrentSince Oct 24, 2016 Accepting new patients
Mercy Clinics, Inc. Family Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Oct 24, 2016 Accepting new patients
Boone County Hospital Past Accepting new patients
Mercy Clinics, Inc Past Accepting new patients

Locations

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

800 E 1st St
Ste 1700
Ankeny, IA 50021
Phone (515) 643-8100

1350 Des Moines St
Ste 110
Des Moines, IA 50309
Phone (515) 358-6500

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

4326 Hickman Rd
Ste 100
Des Moines, IA 50310
Phone (515) 271-6333

307 E Scenic Valley Ave
Indianola, IA 50125
Phone (515) 961-8448

5900 E University Ave
Ste 100
Pleasant Hill, IA 50327
Phone (515) 643-2400

119 19th St
Ste 106
West Des Moines, IA 50265
Phone (515) 226-0112

1525 Grand Ave
West Des Moines, IA 50265
Phone (515) 226-0112

Interoperability endpoints

  • Direct secure messaging: nsimon3957645@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1104375922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-226-0112",
            "fax_number": "515-223-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 GRAND AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653412",
            "telephone_number": "515-226-0112",
            "fax_number": "515-223-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "NELLIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A143864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLIE",
            "last_name": "YOUNG",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.