Active NPI
Jessica M Simon
- Nurse Practitioner
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP142254
- Practice address
- 3500 Hillcrest Dr Ste 1
Waco, TX 76708-3144 - Phone
- (254) 741-6641
- NPI assigned
- Jul 2, 2019
- Last updated
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F06191496 | TX | |
| Nurse Practitioner | 363L00000X | AP142254 | TX | Primary |
Addresses
Primary practice location
3500 Hillcrest Dr Ste 1
Waco, TX 76708-3144
Mailing address
2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272
Other practice location 1
3613 Trice Ave
Waco, TX 76707-1127
Phone (254) 224-8077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405277101 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 E Milam St
Mexia, TX 76667-2329
Phone (254) 562-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142254 | TX | MD | Nurse Practitioner |
| F06191496 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Sierra Healthcare Network LLC | Current | Accepting new patients | |
| QV Urgent Care TX PLLC | Current | Accepting new patients | |
| Arete Urgent Care, PLLC | Current | Accepting new patients | |
| QV Urgent Care TX PLLC | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Central Texas Neurological Association | Past | Accepting new patients | |
| Mark Malone MD PA | Past | Accepting new patients | |
| Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc | Past | Accepting new patients |
Locations
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
2727 Lyndon B Johnson Fwy
Ste 2129
Dallas, TX 75234
Phone (214) 935-5777
1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
401 E Milam St
Mexia, TX 76667
Phone (254) 562-2500
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
Interoperability endpoints
- ms_jsimon66@landmarkhealth-direct.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Mexia, TX
- NPI 1578861639
-
dba QuickVisit Urgent Care
- Family Medicine Physician
- Henderson, TX
- NPI 1568098887
-
- Multi-Specialty Clinic/Center
- Dallas, TX
- NPI 1194368266
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
dba QuickVisit Urgent Care
- Rural Health Clinic/Center
- Madisonville, TX
- NPI 1669198347
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- Neurology Physician
- Waco, TX
- NPI 1265516207
-
dba Chest Diagnostic Therapeutic Services, Inc
- Durable Medical Equipment & Medical Supplies
- Mexia, TX
- NPI 1770589392
-
dba Advanced Pain Care
- Pain Medicine (Anesthesiology) Physician
- Round Rock, TX
- NPI 1407057250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1538721246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 S MAYS ST STE 201",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647580",
"telephone_number": "512-244-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 HILLCREST DR STE 1",
"city": "WACO",
"state": "TX",
"postal_code": "767083144",
"telephone_number": "254-741-6641"
}
],
"practiceLocations": [
{
"address_1": "3613 Trice Ave",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767071127",
"country_code": "US",
"telephone_number": "254-224-8077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "JESSICA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "F06191496",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP142254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405277101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.