NPIMap

Individual provider Active NPI

Rachel Diane Simonsen, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1922589365
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060055 Issued in PA
Practice address
1741 Frankford Ave Ste 100a
Philadelphia, PA 19125-2445
Phone
(215) 425-2424
Fax
(215) 425-0342
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060055 PA Primary

Addresses

Primary practice location

1741 Frankford Ave Ste 100a
Philadelphia, PA 19125-2445

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 926-9022

Other practice location 1

100 E Lehigh Ave # Chc-1
Philadelphia, PA 19125-1012
Phone (215) 707-1866

Other identifiers 1

IdentifierTypeStateIssuer
1035566360004MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181108001627 PA Practitioner - Physician Assistant 3577817618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

1741 Frankford Ave
Philadelphia, PA 19125-2445
Phone (215) 425-2424

515 Pennsylvania Ave
Fort Washington, PA 19034-3314
Phone (215) 926-3535

9331 Old Bustleton Ave
Philadelphia, PA 19115-4204

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060055PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. CurrentSince Jul 15, 2019 Accepting new patients
Temple Physicians Inc CurrentSince Jul 15, 2019 Accepting new patients
Fox Chase Cancer Center Medical Group, Inc CurrentSince Nov 5, 2018 Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physicians Inc. Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

100 E Lehigh Ave
#1
Philadelphia, PA 19125
Phone (215) 707-1866

9331 Old Bustleton Ave
Ste 201
Philadelphia, PA 19115
Phone (215) 602-8500

525 Jamestown St
Ste 201
Philadelphia, PA 19128
Phone (215) 482-2412

Organizations & group practices 6

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 8

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1922589365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-926-9022",
            "fax_number": "215-926-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 FRANKFORD AVE STE 100A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252445",
            "telephone_number": "215-425-2424",
            "fax_number": "215-425-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Lehigh Ave # Chc-1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191251012",
            "country_code": "US",
            "telephone_number": "215-707-1866",
            "fax_number": "215-707-1876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONSEN",
        "first_name": "RACHEL",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035566360004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.