SIMONE OSHEA FERTEL (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1336643931

SIMONE OSHEA FERTEL (MD) is a healthcare provider. based in Denver, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. DR.0075722 (CO). The NPI Number for SIMONE OSHEA FERTEL (MD) is 1336643931

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SIMONE OSHEA FERTEL (MD)
NPI
1336643931
Phone
(303) 436-6000
Address
777 BANNOCK ST
Enumeration Date
20 March 2018
Last Update Date
3 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034366000
Graduation Year
2018 (8 years ago)
PAC ID
4789179680
Group Practice PAC ID
4688583578
Professional Enrollment ID
I20251218001243
Address ID
CO802044507DE777XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

824 OBSTETRICS/GYNECOLOGY in CO

Provider Addresses for SIMONE OSHEA FERTEL (MD)

  • 777 BANNOCK ST

    DENVER, CO 802044507

    Phone: (303) 436-6000

    Type: Location

  • Northwest 12th Avenue, Homestead, Miami-Dade County, Florida, 33030, United States

    MIAMI, FL 331361005

    Phone:

    Type: Mailing

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 585-3771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,387.

Total Amount is formed as General ($2,387) + Research ($0) + Ownership ($0) = $2,387.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: COLOPLAST CORP ($2,179).

Total Amount

$2,387

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

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: 2025-12-18

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
I20251218001243IObstetrics/GynecologyCOTBD

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 80204)

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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: 4688583578View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)CO
-CO
-CO
P A T H O L O G YCO
Physician AssistantCO
Internal MedicineCO
P A T H O L O G YGA
-CO
Internal MedicineCO
Interventional RadiologyNY

Reviews

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Frequently asked questions

Can I cross-check SIMONE OSHEA FERTEL (MD) using NPI 1336643931?
NPI 1336643931 belongs to SIMONE OSHEA FERTEL (MD); compare other details if you need extra assurance.
Is SIMONE OSHEA FERTEL (MD) still an active registrant?
SIMONE OSHEA FERTEL (MD) carries an active NPI according to the public dataset.
What area of care is associated with SIMONE OSHEA FERTEL (MD)?
SIMONE OSHEA FERTEL (MD)'s record emphasizes Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SIMONE OSHEA FERTEL (MD)?
Travel planning: use Denver, Colorado as the reference point for SIMONE OSHEA FERTEL (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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