NIXON SIMON (APRN) – Family Nurse Practitioner, NPI 1972039592

NIXON SIMON (APRN) is a healthcare provider. based in Davenport, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11002074 (FL). The NPI Number for NIXON SIMON (APRN) is 1972039592

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NIXON SIMON (APRN)
NPI
1972039592
Phone
(863) 259-0233
Address
40100 HIGHWAY 27
Enumeration Date
2 May 2017
Last Update Date
10 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8662348534
Graduation Year
2017 (9 years ago)
PAC ID
0345643052
Group Practice PAC ID
0143127951
Professional Enrollment ID
I20210719002124
Address ID
FL338812476WI1514XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for NIXON SIMON (APRN)

  • 27, Davenport Place, Hempstead, Nassau County, New York, 11710, United States

    DAVENPORT, FL 338375906

    Phone: (863) 259-0233

    Type: Location

  • 47 5TH ST NW

    WINTER HAVEN, FL 338814672

    Phone: (866) 234-8534

    Type: Mailing

  • 1514 1ST ST N

    WINTER HAVEN, FL 338812476

    Phone: (866) 234-8534

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($112).

Total Amount

$248

General + Research + Ownership

Payments

13

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2021-07-19

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
I20210719002124INurse PractitionerFLTBD

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 33837)

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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: 0143127951View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
General PracticePR
-FL
Nurse PractitionerFL
P O D I A T R YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General PracticeMD
Nurse PractitionerFL
R H E U M A T O L O G YFL

Reviews

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Frequently asked questions

What NPI should I save for NIXON SIMON (APRN)?
Save NPI 1972039592 if you need a stable reference for NIXON SIMON (APRN).
Is NIXON SIMON (APRN)'s NPI currently valid?
The extract we use shows NIXON SIMON (APRN) as active.
Can you summarize NIXON SIMON (APRN)'s specialty in plain language?
Clinically, the directory lists NIXON SIMON (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is NIXON SIMON (APRN)'s primary listing?
We display Davenport, Florida because that is what the record indicates for NIXON SIMON (APRN).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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