Active NPI
Kathleen Ann Simon, CRNP
- Adult Health Nurse Practitioner
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP029609
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012302P | Other | IN | SIHO INSURANCE |
| 200249860 | Medicaid | IN |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | 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
- kathleen.simon@377412657217540.direct.elationemr.com
- 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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
-
- Urology Physician
- Lewisburg, PA
- NPI 1083412084
-
- Family Medicine Physician
- Lewisburg, PA
- NPI 1295834984
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Interventional Pain Medicine Physician
- Hagerstown, MD
- NPI 1588249668
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.