Individual provider Active NPI

Simone Knobel Maiden, FNP-C

  • Family Nurse Practitioner
  • Decatur, TX
National Provider Identifier
1902603558
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1191906 Issued in TX
Practice address
2250 S FM 51 Ste 400
Decatur, TX 76234-3767
Phone
(940) 389-9325
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1191906 TX Primary

Addresses

Primary practice location

2250 S FM 51 Ste 400
Decatur, TX 76234-3767

Mailing address

2250 S FM 51 Ste 400
Decatur, TX 76234-3767
Phone (940) 389-9325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250828005260 TX Practitioner - Nurse Practitioner 6305347592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians
Nextgen Post Acute Services PCGroup PAC ID 7517459647, 8 clinicians

Practice addresses (Care Compare)

211 E Jasper St
Jacksboro, TX 76458-1848
Phone (940) 567-2686

4810 Kemp Blvd
Wichita Falls, TX 76308-5222
Phone (940) 766-0281

Hospital & facility affiliations

  • Faith Community Hospital Hospital, Jacksboro, TX, CCN 450241
  • Graham Regional Medical Center Hospital, Graham, TX, CCN 671300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners TX PLLC CurrentSince Oct 7, 2025 Accepting new patients
Jack County Hospital District CurrentSince Jun 16, 2025 Accepting new patients
Jack County Hospital District CurrentSince Jun 16, 2025 Accepting new patients

Locations

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

1224 Corvadura St
Graham, TX 76450
Phone (940) 549-4646

1005 State Highway 16 S
Graham, TX 76450
Phone (940) 282-2512

7633 Bellfort St
Houston, TX 77061
Phone (713) 644-2101

211 E Jasper St
Jacksboro, TX 76458
Phone (940) 567-2686

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

Interoperability endpoints

  • Direct secure messaging: simone.maiden.1@11284.direct.athenahealth.com
  • Direct secure messaging: simone.maiden.1@32672.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1902603558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S FM 51 STE 400",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343767",
            "telephone_number": "940-389-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S FM 51 STE 400",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343767",
            "telephone_number": "940-389-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDEN",
        "first_name": "SIMONE",
        "middle_name": "KNOBEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1191906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.