AMANDA SIMON (CNM) – Advanced Practice Midwife, NPI 1407247182
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
163 CERTIFIED NURSE MIDWIFE (CNM) in AZ
Provider Addresses for AMANDA SIMON (CNM)
14239 W Bell Rd
Suite 210
Surprise, AZ 853742469
Phone: (623) 239-3595
Fax: (623) 584-0321
Type: Location
3030 N CENTRAL AVE STE 210
PHOENIX, AZ 850122707
Phone: (602) 406-4786
Fax: (916) 636-4358
Type: Mailing
500 W THOMAS RD STE 720AND
PHOENIX, AZ 850134224
Phone: (602) 406-3715
Fax: (602) 406-4011
Type: Location
PO BOX 33269
PHOENIX, AZ 850673269
Phone: (602) 406-4786
Fax: (916) 636-4358
Type: Mailing
500 W THOMAS RD STE 720AND730
PHOENIX, AZ 850134224
Phone: (602) 406-3715
Fax: (602) 406-4011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-10-02 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-03-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200318002477 | I | Certified Nurse Midwife (Cnm) | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | IL | |
| - | AZ | |
| - | AZ | |
| Pulmonary Disease, Critical Care (Intensivists) | AZ | |
| Diagnostic Radiology | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Colorectal Surgery (Proctology) | AZ | |
| Physician Assistant | AZ |
Reviews
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