Simone Perry

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024194502 Issued in VA

Practice address

106 Elden St Ste 18B
Herndon, VA 20170-4826

Phone

(703) 723-9100

NPI assigned

Aug 6, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Health IncGroup PAC ID 5496168320, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23503/brand/1/csg/1/fhir/r4

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.

• Northstar Health Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1861094096

  DC

  Medicare reassignment Care Compare group NPD
• Northstar Health Inc

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1487222451
  NPD (past)
• Icare Mobile Wound Care VA PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1932992856
  NPD (past)

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1801771290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 COLTON CRAWFORD CIR APT 208",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ELDEN ST STE 18B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704826",
            "telephone_number": "703-723-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194502",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001300662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Joan Pearson
• Jennifer Bischoff Pedicano, MD
• Jasmine Pennington
• Reyna Jasmin Perez-Arreaga
• Susan Perlmutter, M.D.
• Kristina Pestana, CNS, LDN
• Lisa Tam Petruzzi, ATC, VATL
• Brian Andrew Petz, ATC
• Doan Trinh Thuy Pham, FNP-C
• Jennifer Hope Pham

• Family Nurse Practitioner in Herndon, VA
• Providers in Herndon, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.