Individual provider Active NPI

Simona G. Marie, MD

  • General Practice Physician
  • Richland, WA
National Provider Identifier
1154575090
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD00044678 Issued in WA
Practice address
1268 Lee Blvd
Richland, WA 99352-4231
Phone
(509) 942-2660
Fax
(509) 942-2234
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD000044678 WA
General Practice Physician 208D00000X MD00044678 WA Primary

Addresses

Primary practice location

1268 Lee Blvd
Richland, WA 99352-4231

Mailing address

PO Box 7183
Kennewick, WA 99336-0616
Phone (509) 491-3256

Other identifiers 1

IdentifierTypeStateIssuer
8527822MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081208000700 WA Practitioner - General PracticePractitioner - Internal Medicine 5991866006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1268 Lee Blvd
Richland, WA 99352-4231
Phone (509) 371-0240

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
80.23
Promoting interoperability
82
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
19.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1082
Removal of skin lesions276
Removal or shaving of skin growth193
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD000044678WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Urgent Mobile Medicine PLLC CurrentSince Mar 20, 2022 Accepting new patients
Wolfert Enterprises, P.S. Past Accepting new patients
Craig L Howell MD LLC Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1154575090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7183",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360616",
            "telephone_number": "509-491-3256",
            "fax_number": "509-579-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 LEE BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524231",
            "telephone_number": "509-942-2660",
            "fax_number": "509-942-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIE",
        "first_name": "SIMONA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD000044678",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00044678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8527822",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.