CLAY ANDREW SIMON (MSN-FNP) – Family Nurse Practitioner, NPI 1083336382
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for CLAY ANDREW SIMON (MSN-FNP)
21925 MOUNTAIN MAPLE CIR
HENSLEY, AR 720659022
Phone: (501) 590-3104
Type: Mailing
6805 CANTRELL RD
LITTLE ROCK, AR 722074134
Phone: (501) 260-7992
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $194.
Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($85).
Total Amount
$194
General + Research + Ownership
Payments
8
Total payment records
General Amount
$194
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-10-11
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20221011003013 | I | Nurse Practitioner | AR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 85 | 42 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 43 | 43 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 43 | 43 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 30 | $0 |
Insurance plans in this area (ZIP 72065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | AR | |
| Emergency Medicine | AR | |
| Nurse Practitioner | WV | |
| Emergency Medicine | LA | |
| Emergency Medicine | AR | |
| Emergency Medicine | AR | |
| Nurse Practitioner | AR | |
| Emergency Medicine | AR | |
| Emergency Medicine | AR | |
| Emergency Medicine | OH |
Reviews
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