AMY SIMONE (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003914714
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for AMY SIMONE (APN)
9550 W 167TH ST
ORLAND PARK, IL 604675561
Phone: (847) 390-5900
Type: Mailing
4400 W 95TH ST STE 404
OAK LAWN, IL 604537216
Phone: (800) 323-8622
Type: Location
U.S. Realty Capital, 161, Washington Street, Conshohocken, Montgomery County, Pennsylvania, 19428, United States
EIGHT TOWER BRIDGE, SUITE 1400
CONSHOHOCKEN, PA 194282083
Phone: (866) 825-3227
Fax: (484) 351-3800
Type: Mailing
Walgreens, 1799, Douglas Road, Montgomery, Oswego Township, Kendall County, Illinois, 60538, United States
MONTGOMERY, IL 605382170
Phone: (866) 825-3227
Fax: (484) 351-3800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $482.
Total Amount is formed as General ($482) + Research ($0) + Ownership ($0) = $482.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Gilead Sciences, Inc. ($208).
Total Amount
$482
General + Research + Ownership
Payments
5
Total payment records
General Amount
$482
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
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: 2007-01-22
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 |
|---|---|---|---|---|
| I20070122000344 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 128 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 46 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 46 | 46 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 43 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 60467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Internal Medicine | IL | |
| Clinical Social Worker | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Hospitalist, Internal Medicine | IL | |
| Physician Assistant | NC |
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