Marcel Simo, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6066P Issued in KY

Practice address

519 Hampton Way Ste 8
Richmond, KY 40475-8885

Phone

(859) 825-6872

Fax

(859) 201-1449

NPI assigned

Aug 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Madison Healthcare Services

  • Primary Care Clinic/Center
  • Richmond, KY
  • NPI 1083365670

  Family

  Medicare reassignment NPD
• Primary Care of the Bluegrass, LLC

  dba Crab Orchard Primary Care

  • Primary Care Clinic/Center
  • Crab Orchard, KY
  • NPI 1942463096
  Medicare reassignment NPD
• Madison Primary Care, LLC

  • Rural Health Clinic/Center
  • Richmond, KY
  • NPI 1730473745

  Family

  NPD
• Lexington Primary Care LLC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1194741017
  NPD (past)
• Tracys Residential Re Entry Center Inc

  dba Tracy's House

  • Professional Counselor
  • Lexington, KY
  • NPI 1932823929
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1972734002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 HAMPTON WAY STE 8",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758885",
            "telephone_number": "859-825-6872",
            "fax_number": "859-201-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 HAMPTON WAY STE 8",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758885",
            "telephone_number": "859-825-6872",
            "fax_number": "859-201-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMO",
        "first_name": "MARCEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2022-05-17",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3006066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6066P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "1120228",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE NUMBER",
            "identifier": "6066P",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Jo Short
• Ty Shouse
• Franklin Sibert, LCSW
• Sight Savers Family Eye Care PLLC
• John R Simmons, DO
• Leah Shea Simpkins, OTD, OTR/L, CPAM
• Richard Joseph Simpson, D.C
• Victoria Sims, LPCA
• Abigail Nicole Sirrine
• Sisu Integrative Clinical Services

• Family Nurse Practitioner in Richmond, KY
• Providers in Richmond, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.

Verify at the official NPI Registry.