Individual provider Active NPI

Melissa M Simon, DO

  • Family Medicine Physician
  • Elkader, IA
National Provider Identifier
1710100938
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4252 Issued in IA
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

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000941 IA Practitioner - Family PracticePractitioner - Emergency Medicine 2961696919 Reassigns benefits to 5 organizations

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
Central Community HospitalGroup PAC ID 1052206372, 16 clinicians

Practice addresses (Care Compare)

901 Davidson St NW
Elkader, IA 52043-9015
Phone (563) 245-7000

Hospital & facility affiliations

  • Mercyone Elkader Medical Center Hospital, Elkader, IA, CCN 161319
  • Mercyone Elkader Medical Center Nursing home, CCN 16Z319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4252IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Community Hospital CurrentSince Apr 1, 2023 Accepting new patients
Winneshiek Medical Center CurrentSince Dec 12, 2017 Accepting new patients
Central Community Hospital CurrentSince Apr 1, 2023 Accepting new patients
Winneshiek Medical Center Current Accepting new patients
Winneshiek Medical Center CurrentSince Dec 12, 2017 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

  • Direct secure messaging: msimon3962698@direct.trinity-health.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e14dd7a-54b5-4e15-8bd7-0053cd69b1ac/
  • Direct secure messaging: melissasimon@cchelkader.cernerdirect.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.