Individual provider Active NPI

Jean Simonich, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1467692798
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
18300 Katy Fwy Ste 565
Houston, TX 77094-1536
Phone
(281) 717-4003
Fax
(281) 206-7597
NPI assigned
Feb 26, 2009
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

18300 Katy Fwy Ste 565
Houston, TX 77094-1536

Mailing address

18300 Katy Fwy Ste 565
Houston, TX 77094-1536
Phone (281) 717-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090331000496 TX Practitioner - Physician Assistant 5092795625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Female Urology PAGroup PAC ID 8729204599, 4 clinicians

Practice addresses (Care Compare)

18300 Katy Fwy
Suite 565
Houston, TX 77094-1385
Phone (281) 717-4003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesculpt Urogynecology PLLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

18300 Katy Fwy
Ste 565
Houston, TX 77094
Phone (281) 717-4003

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEDJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEDJBD/Endpoint/AEDJBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1467692798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 KATY FWY STE 565",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941536",
            "telephone_number": "281-717-4003",
            "fax_number": "281-206-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 KATY FWY STE 565",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941536",
            "telephone_number": "281-717-4003",
            "fax_number": "281-206-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONICH",
        "first_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.