Adam Creed Simon, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

125 130TH St SE Ste 100
Everett, WA 98208-6401

Phone

(425) 224-8200

NPI assigned

Oct 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newvue Plastic Surgery PCGroup PAC ID 3779642400, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Newvue Plastic Surgery PC

  • Plastic Surgery Physician
  • Kirkland, WA
  • NPI 1023267721
  Medicare reassignment Care Compare group
• Puget Sound Surgical Clinic Inc

  • Surgery Physician
  • Shoreline, WA
  • NPI 1699785527
  NPD (past)
• Sound Surgeons PLLC

  • Ambulatory Surgical Clinic/Center
  • Everett, WA
  • NPI 1396123865
  NPD (past)
• Sound Weight and Wellness PLLC

  • Obesity Medicine (Internal Medicine) Physician
  • Everett, WA
  • NPI 1275105728
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1356626907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7122 58TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156253",
            "telephone_number": "720-837-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 130TH ST SE STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086401",
            "telephone_number": "425-224-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ADAM",
        "middle_name": "CREED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Simmons, RN, BSN
• Mackenzie Marie Simmons
• Stacie Simmons
• Steven Alan Simmons, BA, PEER
• Valorie Simmons, BA
• Tonisha Simon
• Amy Beth Simpson, RN
• Leina June Simpson
• Jean Simrose
• Jennifer Nicole Sims

• Surgical Physician Assistant in Everett, WA
• Providers in Everett, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.