MRS. KIMBERLY SIMON (APRN) – Nurse Practitioner, NPI 1053553974
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. KIMBERLY SIMON (APRN)
PO BOX 746649
ATLANTA, GA 303746649
Phone: (904) 376-4400
Fax: (904) 391-5595
Type: Mailing
2310 VILLAGE SQUARE PKWY STE 202
FLEMING ISLAND, FL 320036351
Phone: (904) 516-1880
Fax: (904) 516-1885
Type: Location
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6017
Fax: (904) 450-6041
Type: Mailing
2300 PARK AVE STE 102
ORANGE PARK, FL 320735572
Phone: (904) 276-2220
Fax: (904) 276-2578
Type: Location
2300 Park Ave Ste 102
Orange Park, FL 320735572
Phone: (904) 276-2220
Fax: (904) 276-2578
Type: Location
1305 N Orange Ave
Green Cove Springs, FL 320432547
Phone: (904) 284-5904
Fax: (904) 284-5905
Type: Location
1747 Baptist Clay Dr Ste 310
Fleming Island, FL 320038503
Phone: (904) 224-8090
Fax: (904) 224-8097
Type: Location
1305, North Orange Avenue, Green Cove Springs, Clay County, Florida, 32043, United States
GREEN COVE SPRINGS, FL 320432547
Phone: (904) 284-5904
Fax: (904) 284-5905
Type: Location
1302, River Street, Palatka, Putnam County, Florida, 32177, United States
PALATKA, FL 321775042
Phone: (386) 328-8371
Fax: (386) 328-1519
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 187 Open Payments records for all available years, with a total value of $3,158.
Total Amount is formed as General ($3,158) + Research ($0) + Ownership ($0) = $3,158.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($937).
Total Amount
$3,158
General + Research + Ownership
Payments
187
Total payment records
General Amount
$3,158
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $937 |
| Lilly USA, LLC | $397 |
| PFIZER INC. | $300 |
| Lundbeck LLC | $230 |
| Novartis Pharmaceuticals Corporation | $201 |
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: 2010-10-22
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 |
|---|---|---|---|---|
| I20101022000210 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 277 | 140 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 148 | 122 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 126 | 126 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 21 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | FL | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| - | FL | |
| - | FL | |
| Neurology, Epileptologists | GA | |
| Neurology, Ophthalmology | FL | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | FL | |
| N E U R O L O G Y | FL |
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