Individual provider Active NPI

Rebecca Simon, M.S.N., F.N.P.

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1578235487
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78352 Issued in NM
Practice address
6100 Pan American Freeway NE Ste 450
Obstetrics and Gynecology
Albuquerque, NM 87109
Phone
(505) 823-8787
Fax
(505) 823-8788
NPI assigned
Sep 29, 2021
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1054695 TX
Family Nurse Practitioner 363LF0000X 78352 NM Primary

Addresses

Primary practice location

6100 Pan American Freeway NE Ste 450
Obstetrics and Gynecology
Albuquerque, NM 87109

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20220912003750 TX Practitioner - Nurse Practitioner 0042695090 Reassigns benefits to 1 organization
I20240808003083 NM Practitioner - Nurse Practitioner 0042695090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

201 Cedar St SE
Suite 5600
Albuquerque, NM 87106-4920
Phone (505) 563-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
78352NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Aug 30, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 26, 2024 Accepting new patients
DCS Medical PA CurrentSince Aug 30, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 26, 2024 Accepting new patients
Doc Healthcare, P.a. PastSince Oct 1, 2021 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

3630 Las Estancias Dr SW
Albuquerque, NM 87121
Phone (505) 462-7777

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

201 Cedar St SE
Ste 5600
Albuquerque, NM 87106
Phone (505) 554-7836

6100 Pan American East Fwy NE
Ste 450
Albuquerque, NM 87109
Phone (505) 823-1805

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

200 Emilio Lopez Rd NW
Los Lunas, NM 87031
Phone (505) 866-2700

2400 Unser Blvd SE
Ste 28400
Rio Rancho, NM 87124
Phone (505) 253-3000

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

11659 FM 2154 Rd
Ste 300
College Station, TX 77845
Phone (979) 314-2323

1289 University Dr
College Station, TX 77840
Phone (979) 314-1105

Interoperability endpoints

  • Direct secure messaging: rsimon255078@direct.phs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1578235487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN FREEWAY NE STE 450",
            "address_2": "OBSTETRICS AND GYNECOLOGY",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-823-8787",
            "fax_number": "505-823-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "REBECCA",
        "credential": "M.S.N., F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054695",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "78352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.