Individual provider Active NPI

Saigi P Simon, ARNP

  • Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1184975492
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9252598 Issued in FL
Practice address
25098 Olympia Ave Unit 400
Punta Gorda, FL 33950-3938
Phone
(941) 621-6771
Fax
(941) 621-6674
NPI assigned
Sep 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9252598 FL Primary

Addresses

Primary practice location

25098 Olympia Ave Unit 400
Punta Gorda, FL 33950-3938

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342

Other practice location 1

1700 N McMullen Booth Rd
Suite D1
Clearwater, FL 33759-2130
Phone (727) 669-3800

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9252598OtherFLFLA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121017000423 FL Practitioner - Nurse Practitioner 9638329279 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

25098 Olympia Ave
Unit 400
Punta Gorda, FL 33950-3938
Phone (941) 621-6771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.76
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Nurse Practitioner Current Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Sep 23, 2020 Accepting new patients
Millennium Physician Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Oct 1, 2012 Accepting new patients
Millennium Physician Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Oct 1, 2012 Accepting new patients

Locations

1700 N McMullen Booth Rd
Ste D1
Clearwater, FL 33759
Phone (727) 669-3800

12980 SW Highway 484
Dunnellon, FL 34432
Phone (352) 229-8465

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

25098 Olympia Ave
Unit 400
Punta Gorda, FL 33950
Phone (941) 621-6771

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: saigi.simon.1@4290.direct.athenahealth.com

Organizations & group practices 7

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 2

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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1184975492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25098 OLYMPIA AVE UNIT 400",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503938",
            "telephone_number": "941-621-6771",
            "fax_number": "941-621-6674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 N McMullen Booth Rd",
            "address_2": "Suite D1",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337592130",
            "country_code": "US",
            "telephone_number": "727-669-3800",
            "fax_number": "727-669-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SAIGI",
        "middle_name": "P",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9252598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLA MEDICAL LICENSE",
            "identifier": "ARNP9252598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.