Individual provider Active NPI

Nicole Simone, APN

  • Gerontology Nurse Practitioner
  • New York, NY
National Provider Identifier
1285046284
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00495800 Issued in NJ
Practice address
885 3Rd Ave FL 28
New York, NY 10022-4834
Phone
(305) 771-4986
NPI assigned
May 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95034782 CA
Gerontology Nurse Practitioner 363LG0600X 26NJ00495800 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 234602 AR
Gerontology Nurse Practitioner 363LG0600X 114111-23 NH

Addresses

Primary practice location

885 3Rd Ave FL 28
New York, NY 10022-4834

Mailing address

885 3Rd Ave FL 28
New York, NY 10022-4834
Phone (305) 771-4986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, KS, CT, AL, NH, TX, CA, VT, WI, AZ, KY, UT, OR, IA, WV16 enrollments
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 16

Enrollment IDStateProvider typePAC IDDetails
I20140826002517 NJ Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 2 organizations
I20220615002550 NY Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 1 organization
I20221230000347 KS Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 3 organizations
I20230201002491 CT Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 1 organization
I20231117001129 AL Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 3 organizations
I20250522000441 NH Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 3 organizations
I20250527002824 TX Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 2 organizations
I20250529003049 CA Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 1 organization
I20250530001210 VT Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 1 organization
I20250602000534 WI Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 1 organization
I20250604001277 AZ Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 1 organization
I20250604002224 KY Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 2 organizations
I20250605000400 UT Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 1 organization
I20250605001900 OR Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 1 organization
I20250610000172 IA Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 1 organization
I20250731004015 WV Practitioner - Nurse Practitioner 2769600139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Practice addresses (Care Compare)

1390 N Poplar Fork Rd
Hurricane, WV 25526-7112
Phone (212) 734-6621

20 Maitland St
Concord, NH 03301-3534
Phone (212) 734-6621

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234602ARMDGerontology Nurse Practitioner
95034782CAMDGerontology Nurse Practitioner
26NJ00495800NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chess Medicine PLLC Gerontology CurrentSince Mar 8, 2022 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Nov 23, 2021 Accepting new patients
Dr Rebman Medical PA CurrentSince Feb 9, 2026 Accepting new patients
Chess Medical, P.C. CurrentSince Apr 21, 2025 Accepting new patients

Locations (25 of 48)

1028 Bessemer Rd
Birmingham, AL 35228
Phone (205) 923-1477

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

1521 N Pine Cliff Dr
Flagstaff, AZ 86001
Phone (928) 440-2350

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

1800 Adobe St
Concord, CA 94520
Phone (925) 825-1300

2151 Michelson Dr
Ste 225
Irvine, CA 92612
Phone (949) 298-3200

12100 Wilshire Blvd
Fl 8
Los Angeles, CA 90025
Phone (317) 658-5000

12100 Wilshire Blvd
#8
Los Angeles, CA 90025

2633 W Rumble Rd
Modesto, CA 95350
Phone (209) 577-1001

6061 Banbury St
San Diego, CA 92139
Phone (619) 475-2211

2018 Del Rosa Ave
Sn Bernrdno, CA 92404
Phone (909) 885-3261

521 Lorel Way
Yuba City, CA 95991
Phone (216) 973-2202

99 Hawley Ln
Ste 1102
Stratford, CT 06614

700 2nd St SE
Ste 101
Hampton, IA 50441
Phone (641) 812-1094

6165 NW 86th St
Johnston, IA 50131
Phone (515) 252-2522

505 N Main St
Eskridge, KS 66423
Phone (785) 449-2294

7300 W 110th St
#17
Overland Park, KS 66210

7300 W 110th St
Fl 7
Overland Park, KS 66210
Phone (650) 761-4056

7300 W 110th St
Overland Park, KS 66210
Phone (620) 302-1077

424 Lewis Hargett Cir
#2
Lexington, KY 40503

424 Lewis Hargett Cir
Fl 2
Lexington, KY 40503
Phone (859) 285-6485

260 S Mayo Trl
Pikeville, KY 41501
Phone (606) 437-7327

1045 Elm St
Ste 204
Manchester, NH 03101
Phone (603) 400-4256

55 Harris Rd
Nashua, NH 03062
Phone (603) 324-4415

Interoperability endpoints

  • Direct secure messaging: nicole.simone@79171750068228.direct.elationemr.com

Organizations & group practices 9

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": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1285046284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "305-771-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "305-771-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-24",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95034782",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00495800",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "234602",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "114111-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.