Individual provider Active NPI

Kathleen Ann Simon, CRNP

  • Adult Health Nurse Practitioner
  • York, PA
National Provider Identifier
1831198688
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP029609 Issued in PA
Practice address
1401 Roosevelt Ave
York, PA 17404-2244
Phone
(717) 566-2503
Fax
(717) 553-1269
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP029609 PA Primary
Nurse Practitioner 363L00000X 71000664 IN

Addresses

Primary practice location

1401 Roosevelt Ave
York, PA 17404-2244

Mailing address

3203 Middle Rd
Columbus, IN 47203-4427
Phone (812) 373-2700

Other practice location 1

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-5190

Other practice location 2

1135 Georgetown Rd Unit 201
Christiana, PA 17509-9543
Phone (717) 466-2462

Other practice location 3

935 Route 522
Selinsgrove, PA 17870-9714
Phone (570) 372-6102

Other practice location 4

354 Alexander Spring Rd Ste 3
Carlisle, PA 17015-7451
Phone (717) 477-2764

Other practice location 5

7095 Westbranch Hwy Ste 1100
Lewisburg, PA 17837-6864
Phone (570) 524-5050

Other practice location 6

7055 Westbranch Hwy
Lewisburg, PA 17837-6808
Phone (570) 524-4141

Other practice location 7

3203 Middle Road
Columbus, IN 47203-4427
Phone (812) 373-2700 ext. 3112

Other practice location 8

22 St Paul Dr
Chambersburg, PA 17201-1036
Phone (717) 264-6511

Other practice location 9

1790 Old Trail Rd
Etters, PA 17319-9652
Phone (717) 938-6588

Other practice location 10

12 St Paul Dr Ste 203
Chambersburg, PA 17201-1035
Phone (717) 264-6511

Other practice location 11

13515 Wolfe Rd Ste C
New Freedom, PA 17349-9346
Phone (717) 812-2501

Other practice location 12

964 Carpenter Rd
Milton, PA 17847-7527
Phone (570) 742-2300

Other practice location 13

820 Chambersburg Rd
Gettysburg, PA 17325-3310
Phone (717) 337-4410

Other practice location 14

264 Granite Run Dr
Lancaster, PA 17601-6804
Phone (717) 721-8205

Other practice location 15

100 Frederick St Ste 101
Hanover, PA 17331-3518
Phone (717) 851-7050

Other practice location 16

6 Perri Ave
Myerstown, PA 17067-3200
Phone (717) 949-6581

Other practice location 17

46 Walnut Bottom Rd Ste 200
Shippensburg, PA 17257-8219
Phone (717) 532-4148

Other practice location 18

935 Route 522
Selinsgrove, PA 17870-9714
Phone (570) 372-6102

Other practice location 19

720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 639-3230

Other practice location 20

30 N 4th St
Lebanon, PA 17046-5606
Phone (717) 270-0474

Other practice location 21

300 W King St Ste C
Littlestown, PA 17340-1446
Phone (717) 339-2390

Other practice location 22

2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119

Other practice location 23

2060 Carlisle Rd
Aspers, PA 17304-9707
Phone (717) 339-2585

Other practice location 24

105 4th St # 727
East Berlin, PA 17316-9638
Phone (717) 812-4900

Other practice location 25

4131A Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 859-1123

Other practice location 26

3193 Cape Horn Rd
Red Lion, PA 17356-8810
Phone (717) 812-5888

Other practice location 27

25 Monument Rd Ste 140
York, PA 17403-5057
Phone (717) 741-8003

Other practice location 28

101 Fairview Cir
Lebanon, PA 17042-9581
Phone (717) 279-7303

Other practice location 29

30 W Swartzville Rd
Reinholds, PA 17569-9641
Phone (717) 484-4347

Other practice location 30

40 V Twin Dr
Gettysburg, PA 17325-7875
Phone (717) 339-2424

Other practice location 31

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5805

Other identifiers 2

IdentifierTypeStateIssuer
012302POtherINSIHO INSURANCE
200249860MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240501001367 PA Practitioner - Nurse Practitioner 6800967092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 812-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization Current Accepting new patients
Evangelical Medical Services Organization CurrentSince Sep 22, 2025 Accepting new patients
Evangelical Medical Services Organization CurrentSince Sep 22, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Jun 24, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jun 24, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations (25 of 33)

2060 Carlisle Rd
Aspers, PA 17304
Phone (717) 339-2585

354 Alexander Spring Rd
Ste 3
Carlisle, PA 17015
Phone (717) 217-6820

22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020

12 St Paul Dr
Ste 203
Chambersburg, PA 17201
Phone (717) 264-4839

4131A Oregon Pike
Ephrata, PA 17522
Phone (717) 859-1123

1790 Old Trail Rd
Etters, PA 17319
Phone (717) 938-6588

820 Chambersburg Rd
Gettysburg, PA 17325
Phone (717) 337-4206

40 V Twin Dr
Gettysburg, PA 17325
Phone (717) 339-2424

100 Frederick St
Ste 101
Hanover, PA 17331
Phone (717) 851-7050

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

264 Granite Run Dr
Lancaster, PA 17601
Phone (717) 721-8205

720 Norman Dr
Lebanon, PA 17042
Phone (717) 279-6700

30 N 4th St
Lebanon, PA 17046
Phone (717) 270-1949

7095 Westbranch Hwy
Ste 1100
Lewisburg, PA 17837
Phone (570) 524-5050

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

7055 Westbranch Hwy
Lewisburg, PA 17837
Phone (570) 524-4141

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

300 W King St
Ste C
Littlestown, PA 17340
Phone (717) 339-2390

2 Keefer Dr
Mercersburg, PA 17236
Phone (717) 328-2115

6 Perri Ave
Myerstown, PA 17067
Phone (717) 949-6581

13515 Wolfe Rd
Ste C
New Freedom, PA 17349
Phone (717) 812-2501

101 Fairview Cir
North Cornwall, PA 17042
Phone (717) 279-7303

3193 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 812-5888

30 W Swartzville Rd
Reinholds, PA 17569
Phone (717) 466-5420

Interoperability endpoints

  • Direct secure messaging: kathleen.simon@377412657217540.direct.elationemr.com
  • Direct secure messaging: ksimon434279@wellspan.direct-ci.com

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1831198688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 MIDDLE RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034427",
            "telephone_number": "812-373-2700",
            "fax_number": "812-373-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROOSEVELT AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174042244",
            "telephone_number": "717-566-2503",
            "fax_number": "717-553-1269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-812-5190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Georgetown Rd Unit 201",
            "address_purpose": "LOCATION",
            "city": "Christiana",
            "state": "PA",
            "postal_code": "175099543",
            "country_code": "US",
            "telephone_number": "717-466-2462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Route 522",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709714",
            "country_code": "US",
            "telephone_number": "570-372-6102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Alexander Spring Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376864",
            "country_code": "US",
            "telephone_number": "570-524-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7055 Westbranch Hwy",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376808",
            "country_code": "US",
            "telephone_number": "570-524-4141",
            "fax_number": "570-524-5218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3203 Middle Road",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472034427",
            "country_code": "US",
            "telephone_number": "812-373-2700 x3112",
            "fax_number": "812-373-2710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011036",
            "country_code": "US",
            "telephone_number": "717-264-6511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1790 Old Trail Rd",
            "address_purpose": "LOCATION",
            "city": "Etters",
            "state": "PA",
            "postal_code": "173199652",
            "country_code": "US",
            "telephone_number": "717-938-6588",
            "fax_number": "717-938-9601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-264-6511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13515 Wolfe Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173499346",
            "country_code": "US",
            "telephone_number": "717-812-2501",
            "fax_number": "717-461-7178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "964 Carpenter Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "PA",
            "postal_code": "178477527",
            "country_code": "US",
            "telephone_number": "570-742-2300",
            "fax_number": "570-742-6276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Chambersburg Rd",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173253310",
            "country_code": "US",
            "telephone_number": "717-337-4410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "264 Granite Run Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176016804",
            "country_code": "US",
            "telephone_number": "717-721-8205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Frederick St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173313518",
            "country_code": "US",
            "telephone_number": "717-851-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Perri Ave",
            "address_purpose": "LOCATION",
            "city": "Myerstown",
            "state": "PA",
            "postal_code": "170673200",
            "country_code": "US",
            "telephone_number": "717-949-6581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-532-4148",
            "fax_number": "717-255-0091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Route 522",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709714",
            "country_code": "US",
            "telephone_number": "570-372-6102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427481",
            "country_code": "US",
            "telephone_number": "717-639-3230",
            "fax_number": "717-274-1659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170465606",
            "country_code": "US",
            "telephone_number": "717-270-0474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W King St Ste C",
            "address_purpose": "LOCATION",
            "city": "Littlestown",
            "state": "PA",
            "postal_code": "173401446",
            "country_code": "US",
            "telephone_number": "717-339-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Keefer Dr",
            "address_purpose": "LOCATION",
            "city": "Mercersburg",
            "state": "PA",
            "postal_code": "172361732",
            "country_code": "US",
            "telephone_number": "717-328-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Aspers",
            "state": "PA",
            "postal_code": "173049707",
            "country_code": "US",
            "telephone_number": "717-339-2585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 4th St # 727",
            "address_purpose": "LOCATION",
            "city": "East Berlin",
            "state": "PA",
            "postal_code": "173169638",
            "country_code": "US",
            "telephone_number": "717-812-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131A Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229550",
            "country_code": "US",
            "telephone_number": "717-859-1123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3193 Cape Horn Rd",
            "address_purpose": "LOCATION",
            "city": "Red Lion",
            "state": "PA",
            "postal_code": "173568810",
            "country_code": "US",
            "telephone_number": "717-812-5888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035057",
            "country_code": "US",
            "telephone_number": "717-741-8003",
            "fax_number": "717-461-7404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Fairview Cir",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170429581",
            "country_code": "US",
            "telephone_number": "717-279-7303",
            "fax_number": "717-279-7471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 W Swartzville Rd",
            "address_purpose": "LOCATION",
            "city": "Reinholds",
            "state": "PA",
            "postal_code": "175699641",
            "country_code": "US",
            "telephone_number": "717-484-4347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 V Twin Dr",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173257875",
            "country_code": "US",
            "telephone_number": "717-339-2424",
            "fax_number": "717-339-6659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5805",
            "fax_number": "717-839-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP029609",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO INSURANCE",
            "identifier": "012302P",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200249860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.