Individual provider Active NPI

Jamie W Simon, FNP, APNP

  • Family Nurse Practitioner
  • Germantown, WI
National Provider Identifier
1336204973
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2182033 Issued in WI
Practice address
N112W17975 Mequon Rd
Germantown, WI 53022-2425
Phone
(262) 532-7600
Fax
(262) 532-7602
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2182 WI
Family Nurse Practitioner 363LF0000X 2182033 WI Primary

Addresses

Primary practice location

N112W17975 Mequon Rd
Germantown, WI 53022-2425

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (262) 532-7600

Other practice location 1

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 955-1700

Other practice location 2

2350 N Lake Dr
Suite 400
Milwaukee, WI 53211-4528
Phone (414) 271-1633

Other identifiers 2

IdentifierTypeStateIssuer
36022600MedicaidWI
1336204973MedicaidWI

Other names 1

  • Jamie Wynn Gilbertson Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address jsimon350177@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040128000841 WI Practitioner - Nurse Practitioner 3476456419 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

N112 W17975 Mequon Rd
Germantown, WI 53022-2425
Phone (262) 532-7600

Hospital & facility affiliations

  • Aurora at Home Home health agency, Milwaukee, WI, CCN 527001
  • Aurora Medical Center Hospital, Grafton, WI, CCN 520207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2182WIMDNurse Practitioner
2182033WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Oct 1, 2013 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Sep 13, 2022 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Sep 13, 2022 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Oct 1, 2013 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince May 15, 2019 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

N112W17975 Mequon Rd
Germantown, WI 53022
Phone (262) 532-7600

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

4425 N Port Washington Rd
Glendale, WI 53212
Phone (414) 326-2218

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100

13133 N Port Washington Rd
Mequon, WI 53097
Phone (262) 243-5850

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

11725 N Port Washington Rd
Ste 250
Mequon, WI 53092
Phone (414) 207-4333

3070 N 51st St
Milwaukee, WI 53210
Phone (414) 442-9911

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

2350 N Lake Dr
Ste 400
Milwaukee, WI 53211
Phone (414) 270-1633

1317 W Grand Ave
Prt Washingtn, WI 53074
Phone (262) 268-6998

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: jsimon350177@direct.myadvocateaurora.org

Organizations & group practices 7

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1336204973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "262-532-7600",
            "fax_number": "262-532-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W17975 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530222425",
            "telephone_number": "262-532-7600",
            "fax_number": "262-532-7602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-955-1700",
            "fax_number": "414-955-0072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 N Lake Dr",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114528",
            "country_code": "US",
            "telephone_number": "414-271-1633",
            "fax_number": "414-271-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JAMIE",
        "middle_name": "W",
        "credential": "FNP, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2182",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2182033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36022600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336204973",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "N112W17975 Mequon Rd",
            "city": "Germantown",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530222425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsimon350177@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "N112W17975 Mequon Rd",
            "city": "Germantown",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530222425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "GILBERTSON",
            "middle_name": "WYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, WI

Sources for this page

Verify at the official NPI Registry.