Individual provider Active NPI

Simone Mayfield, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1245994011
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016673 Issued in KY
Practice address
3245 Mount Moriah Ave Ste 10
Owensboro, KY 42303-7834
Phone
(270) 663-0955
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016673 KY Primary

Addresses

Primary practice location

3245 Mount Moriah Ave Ste 10
Owensboro, KY 42303-7834

Mailing address

3245 Mount Moriah Ave Ste 10
Owensboro, KY 42303-7834
Phone (270) 663-0955

Other practice location 1

2609 New Hartford Rd Ste 3
Owensboro, KY 42303-1394
Phone (812) 476-7111

Other practice location 2

2804 Frederica Street
Suite 1
Owensboro, KY 42301-4230
Phone (270) 240-0633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20211111002710 KY Practitioner - Nurse Practitioner 7810386992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

2609 New Hartford Rd
Suite 3
Owensboro, KY 42303-1316
Phone (812) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3016673KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Digestive Health PSC CurrentSince Jun 1, 2022 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince Sep 1, 2023 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

2851 New Hartford Rd
#A
Owensboro, KY 42303
Phone (270) 240-2305

2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000

3112 Fairview Dr
Owensboro, KY 42303
Phone (270) 240-2129

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: simone.mccormack.1@16521.direct.athenahealth.com

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 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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1245994011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 MOUNT MORIAH AVE STE 10",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037834",
            "telephone_number": "270-663-0955",
            "fax_number": "877-466-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 MOUNT MORIAH AVE STE 10",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037834",
            "telephone_number": "270-663-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 New Hartford Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031394",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2804 Frederica Street",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014230",
            "country_code": "US",
            "telephone_number": "270-240-0633",
            "fax_number": "877-258-2979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "SIMONE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.