Individual provider Active NPI

Erin S Simon, AG-ACNP

  • Acute Care Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1316958176
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024173563 Issued in VA
Practice address
3580 Joseph Siewick Dr Ste 305
Fairfax, VA 22033-1764
Phone
(703) 648-3266
Fax
(703) 648-3264
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024173563 VA Primary

Addresses

Primary practice location

3580 Joseph Siewick Dr Ste 305
Fairfax, VA 22033-1764

Mailing address

2901 Telestar CT.
#300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other identifiers 1

IdentifierTypeStateIssuer
1316958176MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esimon318216@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20161012001279 VA Practitioner - Nurse Practitioner 3476841131 Reassigns benefits to 3 organizations
I20170609001661 DC Practitioner - Nurse Practitioner 3476841131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

120 B N Maple Ave
Purcellville, VA 20132-3180
Phone (703) 723-8664

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

44035 Riverside Pkwy
Leesburg, VA 20176-8260

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Aug 12, 2016 Accepting new patients
Inova Health Care Services CurrentSince Jun 13, 2017 Accepting new patients
Inova Health Care Services CurrentSince Jun 13, 2017 Accepting new patients
The Cardiovascular Group, PC CurrentSince May 23, 2017 Accepting new patients
Bayview Physician Services, PC CurrentSince Aug 12, 2016 Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

3580 Joseph Siewick Dr
Ste 305
Fairfax, VA 22033
Phone (703) 648-3266

3620 Joseph Siewick Dr
Ste 302
Fairfax, VA 22033
Phone (703) 648-3266

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421

120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664

1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265

Organizations & group practices 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1316958176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT.",
            "address_2": "#300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 JOSEPH SIEWICK DR STE 305",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331764",
            "telephone_number": "703-648-3266",
            "fax_number": "703-648-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ERIN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024173563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316958176",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esimon318216@soc.inova.org",
            "affiliation": "N",
            "address_1": "3580 Joseph Siewick Dr Ste 305",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.