Individual provider Active NPI

Jose Miguel Simo, ARNP

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1952968026
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000244 Issued in FL
Practice address
3347 S State Road 7 Ste 205
Wellington, FL 33449-8148
Phone
(561) 793-6100
Fax
(561) 793-1974
NPI assigned
May 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11000244 FL
Family Nurse Practitioner 363LF0000X APRN11000244 FL Primary

Addresses

Primary practice location

3347 S State Road 7 Ste 205
Wellington, FL 33449-8148

Mailing address

12724 Shoreline Dr.
Unit E
Wellington, FL 33414
Phone (561) 714-5070

Other practice location 1

1309 N Flagler Dr Ste 1092
West Palm Beach, FL 33401-3406
Phone (561) 227-9238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190807002023 FL Practitioner - Nurse Practitioner 3173850534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Partners PLGroup PAC ID 5890751929, 27 clinicians

Practice addresses (Care Compare)

808 SW Glenview CT
Suite 812 and 814
Port St Lucie, FL 34953-2684
Phone (772) 240-7822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000244FLMDCardiovascular Disease Physician
APRN11000244FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince Nov 9, 2022 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Dec 27, 2019 Accepting new patients
Tenet Florida Physician Services LLC Cardiovascular Disease CurrentSince Dec 27, 2019 Accepting new patients
Gastro Health LLC CurrentSince Nov 9, 2022 Accepting new patients
P&O Pediatric and Fetal Cardiology and Wellness LLC PastSince Aug 4, 2024 Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1411 N Flagler Dr
#8900
West Palm Beach, FL 33401
Phone (561) 832-8886

1309 N Flagler Dr
Ste 1092
West Palm Beach, FL 33401
Phone (561) 227-9238

1117 N Olive Ave
Ste 203
West Palm Beach, FL 33401
Phone (561) 659-5466

1411 N Flagler Dr
Ste 8900
West Palm Beach, FL 33401
Phone (561) 227-9238

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jose.simo.1@13023.direct.athenahealth.com

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 2

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1952968026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12724 SHORELINE DR.",
            "address_2": "UNIT E",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-714-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 S STATE ROAD 7 STE 205",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498148",
            "telephone_number": "561-793-6100",
            "fax_number": "561-793-1974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 N Flagler Dr Ste 1092",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013406",
            "country_code": "US",
            "telephone_number": "561-227-9238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMO",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "11000244",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.