Individual provider Active NPI

Natasha Nicole Simonson, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1932565447
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2578 Issued in OK
Practice address
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone
(405) 949-3011
Fax
(405) 848-3210
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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 2578 OK Primary

Addresses

Primary practice location

3300 NW Expressway
Oklahoma City, OK 73112-4418

Mailing address

5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 949-3011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160229002017 OK Practitioner - Physician Assistant 1951606995 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2578OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County, Inc CurrentSince Jan 28, 2016 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Nov 1, 2016 Accepting new patients
Orthopedic and Trauma Institute LLC CurrentSince Feb 10, 2025 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Nov 1, 2016 Accepting new patients
Ou Health Partners, Inc CurrentSince Oct 7, 2021 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Jan 28, 2016 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 22, 2019 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 22, 2019 Accepting new patients

Locations

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

3705 NW 63rd St
Ste 201
Oklahoma City, OK 73116
Phone (405) 673-3280

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • Direct secure messaging: nsimonson42360@direct.integrisok.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1932565447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "405-949-3011",
            "fax_number": "405-848-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124418",
            "telephone_number": "405-949-3011",
            "fax_number": "405-848-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "NATASHA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.