Active NPI
Melissa M Simon, DO
- Family Medicine Physician
- Elkader, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4252
- Practice address
- 901 Davidson St NW
Elkader, IA 52043-9015 - Phone
- (563) 245-7000
- NPI assigned
- Apr 10, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 52306-21 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 4252 | IA | Primary |
Addresses
Primary practice location
901 Davidson St NW
Elkader, IA 52043-9015
Mailing address
901 Davidson St NW
Elkader, IA 52043-9015
Phone (563) 245-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melissasimon@cchelkader.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Davidson St NW
Elkader, IA 52043-9015
Phone (563) 245-7000
Hospital & facility affiliations
- Mercyone Elkader Medical Center
- Mercyone Elkader Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4252 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Community Hospital | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients | |
| Central Community Hospital | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients | |
| Central Community Hospital | Past | Accepting new patients |
Locations
235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101
901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911
901 Davidson St NW
Elkader, IA 52043
Phone (563) 245-7000
40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
Interoperability endpoints
- msimon3962698@direct.trinity-health.org
- https://fhir-myrecord.cerner.com/r4/0e14dd7a-54b5-4e15-8bd7-0053cd69b1ac/
- melissasimon@cchelkader.cernerdirect.com
- msimon125794@uihcdirect.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 and National Provider Directory roles.
-
- Surgery Physician
- Elkader, IA
- NPI 1578600961
-
- Critical Access Hospital
- Decorah, IA
- NPI 1619922051
-
- Multi-Specialty Clinic/Center
- Decorah, IA
- NPI 1992854863
-
- Critical Access Hospital
- Elkader, IA
- NPI 1184645434
-
- Rural Health Clinic/Center
- Elkader, IA
- NPI 1952986010
-
- Community/Retail Pharmacy
- Decorah, IA
- NPI 1104507060
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Elkader, IA
- NPI 1184645434
-
- Medicare Defined Swing Bed Hospital Unit
- Elkader, IA
- NPI 1831102557
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1710100938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 DAVIDSON ST NW",
"city": "ELKADER",
"state": "IA",
"postal_code": "520439015",
"telephone_number": "563-245-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 DAVIDSON ST NW",
"city": "ELKADER",
"state": "IA",
"postal_code": "520439015",
"telephone_number": "563-245-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "MELISSA",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "52306-21",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "4252",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melissasimon@cchelkader.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "MercyOne Elkader Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CC",
"address_1": "901 Davidson St NW",
"city": "Elkader",
"state": "IA",
"country_code": "US",
"postal_code": "520439015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkader, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.