Active NPI
Amy Simon, NP
- Family Nurse Practitioner
- East Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP023677
- Practice address
- 200 E Brown St
East Stroudsburg, PA 18301-3006 - Phone
- (570) 476-3700
- NPI assigned
- Nov 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP023677 | PA | Primary |
Addresses
Primary practice location
200 E Brown St
East Stroudsburg, PA 18301-3006
Mailing address
200 E Brown St
East Stroudsburg, PA 18301-3006
Phone (973) 590-8152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Community Dr
Suite 102
Tobyhanna, PA 18466-8986
Phone (570) 839-8754
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
200 E Brown St
LVPG Family Medicine Esu
East Stroudsburg, PA 18301-3006
Phone (272) 762-4378
2100 Mack Blvd
FL 4
Allentown, PA 18103-5622
4541 Milford Rd
East Stroudsburg, PA 18302-9657
Phone (570) 395-2514
Hospital & facility affiliations
- Lehigh Valley Hospital - Pocono
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.09 of 100
- Quality
- 74.47
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 74.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP023677 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Schuylkill Health System Medical Group, Inc. | Family | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Schuylkill Health System Medical Group, Inc. | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Family Care Centers Inc | Current | Accepting new patients | |
| Family Care Centers Inc. | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101
500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970
200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200
700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440
Interoperability endpoints
- asimon293013@direct2.lvhn.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Family
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- Family Medicine Physician
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- NPI 1316409626
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- Pulmonary Disease Physician
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Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636243200000",
"number": "1104581867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "973-590-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-476-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "AMY",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-07",
"last_updated": "2021-11-07",
"certification_date": "2021-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP023677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.