DR. RUSSELL SIMON (DNP, NP-C) – Family Nurse Practitioner, NPI 1659624948

DR. RUSSELL SIMON (DNP, NP-C) is a healthcare provider. based in Palm desert, California. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, NP-C. They hold a License No. 21536 (CA). The NPI Number for DR. RUSSELL SIMON (DNP, NP-C) is 1659624948

Main info

Female
Sole Proprietor
15 Years Of Experience
Name
DR. RUSSELL SIMON (DNP, NP-C)
NPI
1659624948
Phone
(760) 674-7188
Address
P.O. BOX 13192
Enumeration Date
24 October 2012
Last Update Date
21 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3102706181
Graduation Year
2011 (15 years ago)
PAC ID
8224390380
Group Practice PAC ID
1759699176
Professional Enrollment ID
I20180329002126
Address ID
CA900245221LO1250XBLVD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for DR. RUSSELL SIMON (DNP, NP-C)

  • P.O. BOX 13192

    PALM DESERT, CA 922553192

    Phone: (760) 674-7188

    Type: Mailing

  • 1180 N. INDIAN CANYON DRIVE, SUITE E317

    PALM SPRINGS, CA 92262

    Phone: (760) 346-8058

    Type: Location

  • 1801 E Tahquitz Canyon Way Ste 102

    Palm Springs, CA 922627121

    Phone: (760) 327-5900

    Type: Location

  • 69175 Ramon Rd Bldg A

    Cathedral City, CA 922343344

    Phone: (760) 320-6776

    Type: Location

  • 4050 AIRPORT CENTER DR STE B2

    PALM SPRINGS, CA 922641216

    Phone: (760) 674-7188

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $286.

Total Amount is formed as General ($286) + Research ($0) + Ownership ($0) = $286.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($125).

Total Amount

$286

General + Research + Ownership

Payments

3

Total payment records

General Amount

$286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-03-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180329002126INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 92255)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759699176View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerKY
Nurse PractitionerCA
Nurse PractitionerNJ
Nurse PractitionerCA
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerWY
Physician AssistantNV
Nurse PractitionerCA

Reviews

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Frequently asked questions

How do payers reference DR. RUSSELL SIMON (DNP, NP-C)?
For DR. RUSSELL SIMON (DNP, NP-C), use NPI 1659624948 as the unique 10-digit identifier.
Is there an active status for DR. RUSSELL SIMON (DNP, NP-C)?
For scheduling context, DR. RUSSELL SIMON (DNP, NP-C) is shown as active in the registry.
How would a patient describe DR. RUSSELL SIMON (DNP, NP-C)'s focus?
For DR. RUSSELL SIMON (DNP, NP-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. RUSSELL SIMON (DNP, NP-C)?
Directory geography for DR. RUSSELL SIMON (DNP, NP-C) centers on Palm Desert, California.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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