Individual provider Active NPI

Michael P Simone, DC

  • Sports Physician Chiropractor
  • Fort Lupton, CO
National Provider Identifier
1194727313
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4506 Issued in CO
Practice address
1111 1St St
Fort Lupton, CO 80621-1702
Phone
(303) 833-2332
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 4506 CO Primary

Addresses

Primary practice location

1111 1St St
Fort Lupton, CO 80621-1702

Mailing address

1111 1St St
Fort Lupton, CO 80621-1702
Phone (303) 833-2332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000742 CO Practitioner - Chiropractic 1658405899 Reassigns benefits to 1 organization
Practice locations: Fort Lupton, CO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Integrated Care Network LLCGroup PAC ID 0244770279, 16 clinicians

Practice addresses (Care Compare)

1823 Ford St
Suite 35
Golden, CO 80401-2546
Phone (303) 641-2254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4506COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Integrated Care Network LLC CurrentSince May 7, 2025 Accepting new patients
North Metro Family Medicine Past Accepting new patients

Locations

1823 Ford St
Ste 35
Golden, CO 80401
Phone (303) 641-2254

Interoperability endpoints

  • Direct secure messaging: michael.simone.2@29676.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1194727313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 1ST ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211702",
            "telephone_number": "303-833-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 1ST ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211702",
            "telephone_number": "303-833-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "4506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lupton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.