Individual provider Active NPI

Jordan Ciarra Simon, FNP-C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1780418913
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1173390 Issued in TX
Practice address
6202 Zanes CT
Plano, TX 75023
Phone
(817) 291-0217
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1173390 TX Primary

Addresses

Primary practice location

6202 Zanes CT
Plano, TX 75023

Mailing address

6202 Zanes CT
Plano, TX 75023
Phone (817) 291-0217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000690 TX Practitioner - Nurse Practitioner 1052840626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

501 N Reo St
Tampa, FL 33609-1012

9170 Cypress Waters Blvd
Apt 109
Coppell, TX 75019-4894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group, PLLC CurrentSince Dec 2, 2024 Accepting new patients
Texas Pain Relief Group PLLC CurrentSince Dec 2, 2024 Accepting new patients

Locations

7515 Greenville Ave
Ste 500
Dallas, TX 75231
Phone (214) 345-1299

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

2730 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (469) 298-1486

Organizations & group practices 2

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1780418913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 ZANES CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "817-291-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 ZANES CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "817-291-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JORDAN",
        "middle_name": "CIARRA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1173390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.