Active NPI
Avery Corin Simpson, PA-C
- Physician Assistant
- York, PA
National Provider Identifier
1104751452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA067966
- Practice address
- 1703 Innovation Dr Ste 3136
York, PA 17408-8815 - Phone
- (717) 741-3449
- NPI assigned
- Jun 17, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA067966 | PA | Primary |
Addresses
Primary practice location
1703 Innovation Dr Ste 3136
York, PA 17408-8815
Mailing address
1703 Innovation Dr Ste 3136
York, PA 17408-8815
Phone (717) 741-3449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1104751452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 INNOVATION DR STE 3136",
"city": "YORK",
"state": "PA",
"postal_code": "174088815",
"telephone_number": "717-741-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 INNOVATION DR STE 3136",
"city": "YORK",
"state": "PA",
"postal_code": "174088815",
"telephone_number": "717-741-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "AVERY",
"middle_name": "CORIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-17",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA067966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.