Individual provider Active NPI

Sharon E Simon, CNP

  • Nurse Practitioner
  • Groton, SD
National Provider Identifier
1235409426
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000691 Issued in SD
Practice address
8 E US Highway 12
Suite 2
Groton, SD 57445-2176
Phone
(605) 397-4242
Fax
(605) 397-4243
NPI assigned
Jan 5, 2012
Last updated
May 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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 CP000691 SD Primary

Addresses

Primary practice location

8 E US Highway 12
Suite 2
Groton, SD 57445-2176

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-2857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20120210000181 SD Practitioner - Nurse Practitioner 4880851310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000691SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke's Current Accepting new patients
Avera St Luke's CurrentSince Jan 30, 2012 Accepting new patients
Avera St. Lukes CurrentSince Jan 30, 2012 Accepting new patients

Locations

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

8 E US Highway 12
Groton, SD 57445
Phone (605) 397-4242

8 E US Highway 12
Ste 2
Groton, SD 57445
Phone (605) 397-4242

Interoperability endpoints

  • Direct secure messaging: sharon.simon@avera.sdhealthlink.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1235409426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-2857",
            "fax_number": "605-622-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E US HIGHWAY 12",
            "address_2": "SUITE 2",
            "city": "GROTON",
            "state": "SD",
            "postal_code": "574452176",
            "telephone_number": "605-397-4242",
            "fax_number": "605-397-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SHARON",
        "middle_name": "E",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, SD

Sources for this page

Verify at the official NPI Registry.