Breeanna Baker Simon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2188 Issued in NV

Practice address

866 Seven Hills Dr Ste 201
Henderson, NV 89052-4376

Phone

(702) 430-5333

Fax

(702) 430-5335

NPI assigned

Feb 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Breeanna Baker Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

Physician Assistant

Education

Midwestern University College of Dental Medicine, Glendale, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas DermatologyGroup PAC ID 9830277136, 35 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bsimon@thomasderm.emadirect.md

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.

• Thomas Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1922279496
  Medicare reassignment Care Compare group
• Douglas a. Thomas, MD

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1891897658
  NPD (past)

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1770115966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 SEVEN HILLS DR STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524376",
            "telephone_number": "702-430-5333",
            "fax_number": "702-430-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 SEVEN HILLS DR STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524376",
            "telephone_number": "702-430-5333",
            "fax_number": "702-430-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "BREEANNA",
        "middle_name": "BAKER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREEANNA",
            "last_name": "BAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chadwick Simmons
• Laura A. Simmons, MFT
• Maren Simmons, MFT-I STUDENT
• River Simmons
• Francine Marie Simms, CNA
• Irwin B Simon, M.D.
• Paula A Simon, MT ASCP
• Patrick A. Simone, DDS MAGD
• Luke Anthony Simonis, D.D.S.
• Amanda Simons, LCSW

• Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.

Verify at the official NPI Registry.