Active NPI
Jose Miguel Simo, ARNP
- Family Nurse Practitioner
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11000244
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11000244 | FL | MD | Cardiovascular Disease Physician |
| APRN11000244 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Health, LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Cardiovascular Disease | Current | Accepting new patients |
| Gastro Health LLC | Current | Accepting new patients | |
| P&O Pediatric and Fetal Cardiology and Wellness LLC | Past | 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
- 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.
-
- Cardiovascular Disease Physician
- Wellington, FL
- NPI 1518978626
-
- Gastroenterology Physician
- Miami, FL
- NPI 1487767133
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
Cardiovascular Disease
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
dba P&O Pediatric and Fetal Cardiology
- Pediatric Cardiology Physician
- Port St Lucie, FL
- NPI 1528898905
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
dba Hendry Regional Medical Center
- Critical Access Hospital
- Clewiston, FL
- NPI 1215960315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.