GUILLANA SIMON (MSN FNP-BC, RN, CEN) – Family Nurse Practitioner, NPI 1497270110
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
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Provider Addresses for GUILLANA SIMON (MSN FNP-BC, RN, CEN)
11186, Sewickley Street, Rolling Meadows, Wexford Village, Waldorf, Charles County, Maryland, 20601, United States
WALDORF, MD 206012688
Phone: (240) 222-2667
Type: Mailing
Shady Court, Riverside County, California, United States
CALIFORNIA, MD 206195009
Phone: (301) 737-0500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20171114001139 | I | Nurse Practitioner | MD | TBD |
| I20180824001610 | I | Nurse Practitioner | DC | TBD |
| I20220314000235 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 100 | 100 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 76 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 46 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 34 | 17 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 27 | 27 | $0 |
Insurance plans in this area (ZIP 20601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Sports Medicine, Family Practice | SC | |
| - | NY | |
| Physician Assistant | MD | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| - | DC | |
| Physician Assistant | NC | |
| Physician Assistant | GA | |
| - | IN |
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