Individual provider Active NPI

Louise A Simons, MD

  • Family Medicine Physician
  • Chelan, WA
National Provider Identifier
1891786448
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00044441 Issued in WA
Practice address
503 E Highland Ave
Chelan, WA 98816-8631
Phone
(509) 682-3300
Fax
(509) 682-3475
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00044441 WA Primary

Addresses

Primary practice location

503 E Highland Ave
Chelan, WA 98816-8631

Mailing address

503 E Highland Ave
PO Box 908
Chelan, WA 98816-8631
Phone (509) 682-8517

Other identifiers 1

IdentifierTypeStateIssuer
8851651MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050317001075 WA Practitioner - Family Practice 5991750358 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chelan County Public Hospital District No 2 CurrentSince Sep 1, 2016 Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince Sep 1, 2016 Accepting new patients

Locations

503 E Highland Ave
Chelan, WA 98816
Phone (509) 682-3300

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1891786448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E HIGHLAND AVE",
            "address_2": "PO BOX 908",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168631",
            "telephone_number": "509-682-8517",
            "fax_number": "509-682-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E HIGHLAND AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168631",
            "telephone_number": "509-682-3300",
            "fax_number": "509-682-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "LOUISE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00044441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8851651",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelan, WA

Sources for this page

Verify at the official NPI Registry.