Russell Simon, DNP, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21536 Issued in CA

Practice address

4050 Airport Center Dr Ste B2
Palm Springs, CA 92264-1216

Phone

(760) 674-7188

NPI assigned

Oct 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Nurse Practitioner

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

SNF Wound CareGroup PAC ID 1759699176, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amazing Health Home Care Inc Home health agency, Palm Desert, CA, CCN 559526
• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rsimon290474@direct.llu.edu
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Amazing Health Home Care, Inc

  • Home Health Agency
  • Palm Desert, CA
  • NPI 1003476953

  Contracted Managing Employee

  CMS ownership

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.

• Phoenix Health & Wellness Nursing Corp

  • Nurse Practitioner
  • Palm Desert, CA
  • NPI 1295615094

  Single Specialty

  Medicare reassignment NPD Authorized official
• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Curaderm Inc

  • Emergency Medicine Physician
  • Redlands, CA
  • NPI 1255228565

  Single Specialty

  Medicare reassignment NPD
• Doctors on the Go Inc.

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1700523362

  Single Specialty

  Medicare reassignment NPD
• Farschad Birdjandi MD Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1558844019

  Single Specialty

  Medicare reassignment NPD
• Fountain Valley Group Services PC

  • Hospitalist Physician
  • Indio, CA
  • NPI 1013310309

  Single Specialty

  Medicare reassignment NPD
• Sac Health System

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1013935923

  Single Specialty

  Medicare reassignment NPD
• SCV Legacy Inc

  • Acute Care Nurse Practitioner
  • Valencia, CA
  • NPI 1235984956

  Single Specialty

  Medicare reassignment NPD
• Dap Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Borrego Springs, CA
  • NPI 1134144165

  Single Specialty

  NPD
• Sac Health System

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1013935915
  NPD
• Sac Health System

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1467274126
  NPD
• Desert Group Services, PC

  • Hospitalist Physician
  • Joshua Tree, CA
  • NPI 1891240602

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amazing Health Home Care, Inc

  • Home Health Agency
  • Palm Desert, CA
  • NPI 1003476953
  Care Compare affiliation
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1659624948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 AIRPORT CENTER DR STE B2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641216",
            "telephone_number": "760-674-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 AIRPORT CENTER DR STE B2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641216",
            "telephone_number": "760-674-7188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 E Tahquitz Canyon Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627121",
            "country_code": "US",
            "telephone_number": "760-327-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "69175 Ramon Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Cathedral City",
            "state": "CA",
            "postal_code": "922343344",
            "country_code": "US",
            "telephone_number": "760-320-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DNP, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2023-08-21",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21536",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "21536",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Lynne Siegel, PHD/LMFT
• Valerie Silva
• Steven Leslie Silver, M.D.
• Andrew Silvestri
• Kamille Simmons, LVN
• Navpreet Singh, MD
• Srinivas Sirimalle, M.D.,
• Matthew Sirois
• Trevor Six, NP
• Barbara J Skaret, NP

• Family Nurse Practitioner in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.