Individual provider Active NPI

Michael L Simonson, MD

  • Surgery Physician
  • North Platte, NE
National Provider Identifier
1881787372
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26195 Issued in NE
Practice address
516 W Leota St
North Platte, NE 69101-6533
Phone
(308) 534-5370
Fax
(308) 534-3813
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 26195 NE Primary

Addresses

Primary practice location

516 W Leota St
North Platte, NE 69101-6533

Mailing address

PO Box 9994
North Platte, NE 69103-9994
Phone (308) 534-5370

Other identifiers 1

IdentifierTypeStateIssuer
10026413401MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000642 NE Practitioner - General Surgery 1456520873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Creighton University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

601 W Leota St
Great Plains Health
North Platte, NE 69101-6525
Phone (308) 568-8000

Hospital & facility affiliations

  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • Community Hospital Hospital, McCook, NE, CCN 281363
  • Cozad Community Hospital Hospital, Cozad, NE, CCN 281327
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy116
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux128
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Surgery CurrentSince Aug 1, 2016 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Physician Group LLC Surgery Past Accepting new patients

Locations

1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651

516 W Leota St
North Platte, NE 69101
Phone (308) 534-5370

500 W Leota St
Ste 120
North Platte, NE 69101
Phone (308) 568-3700

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Organizations & group practices 3

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1881787372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9994",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691039994",
            "telephone_number": "308-534-5370",
            "fax_number": "308-696-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016533",
            "telephone_number": "308-534-5370",
            "fax_number": "308-534-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "26195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026413401",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.