Individual provider Active NPI

Ingrid Anne Simonson

  • Advanced Practice Midwife
  • Orlando, FL
National Provider Identifier
1750986964
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
11010837 Issued in FL
Practice address
83 W Miller St
Orlando, FL 32806-2031
Phone
(321) 841-5274
Fax
(321) 843-9792
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 11010837 FL Primary

Addresses

Primary practice location

83 W Miller St
Orlando, FL 32806-2031

Mailing address

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-5274

Other practice location 1

2120 Sarno Rd
Melbourne, FL 32935-3084
Phone (321) 241-6800

Other practice location 2

330 E Hibiscus Blvd
Melbourne, FL 32901-3155
Phone (321) 724-2229

Other identifiers 1

IdentifierTypeStateIssuer
109718400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210122000391 FL Practitioner - Certified Nurse Midwife (CNM) 3678987203 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
11010837FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Florida Woman Care, LLC CurrentSince Mar 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Womencare PA Past Accepting new patients
Brevard Health Alliance Inc Past Accepting new patients

Locations

330 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 724-2229

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

1765 Berglund Ln
Ste 102
Viera, FL 32940
Phone (321) 724-2229

Interoperability endpoints

  • Direct secure messaging: isimonson71453@epicdirect.hf.org
  • Direct secure messaging: ingrid.simonson.1@2183.direct.athenahealth.com
  • Direct secure messaging: ingrid.simonson@bha.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1750986964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5274",
            "fax_number": "321-843-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5274",
            "fax_number": "321-843-9792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Sarno Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353084",
            "country_code": "US",
            "telephone_number": "321-241-6800",
            "fax_number": "321-241-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 E Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013155",
            "country_code": "US",
            "telephone_number": "321-724-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "INGRID",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "11010837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109718400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.