XAVIER E SIMON – Family Nurse Practitioner, NPI 1033899729

XAVIER E SIMON is a healthcare provider. based in North grafton, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2349752 (MA). The NPI Number for XAVIER E SIMON is 1033899729

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
XAVIER E SIMON
NPI
1033899729
Phone
Not provided
Address
73 SAMUEL DR
Enumeration Date
19 July 2023
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607776977
Graduation Year
2023 (3 years ago)
PAC ID
9436699188
Group Practice PAC ID
7618242777
Professional Enrollment ID
I20240909001319
Address ID
CT060014357AV385XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for XAVIER E SIMON

  • 73 SAMUEL DR

    NORTH GRAFTON, MA 015361139

    Phone:

    Mailing address matches the actual address.

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: 2024-09-09

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
I20240909001319INurse PractitionerCTTBD

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 01536)

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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: 7618242777View full group profile
NameSpecialtyState
Physician AssistantCT
Physician AssistantCT
Physician AssistantCT
Nurse PractitionerCT
-CT
Nurse PractitionerMA
Emergency MedicineCT
Nurse PractitionerRI
Nurse PractitionerNY
Nurse PractitionerCT

Reviews

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Frequently asked questions

How is XAVIER E SIMON identified in CMS data?
CMS-hosted NPPES data lists XAVIER E SIMON with NPI 1033899729.
Is XAVIER E SIMON still practicing?
XAVIER E SIMON is currently listed as active in the public NPI registry.
What is XAVIER E SIMON's primary classification?
Family Nurse Practitioner is the headline specialty for XAVIER E SIMON here. Clinical services aligned with this taxonomy classification.
What address line appears for XAVIER E SIMON?
XAVIER E SIMON's geographic hint is North Grafton, Massachusetts in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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