MANDY LYNN SIMON (NP) – Family Nurse Practitioner, NPI 1083979033

Family Nurse Practitioner

MANDY LYNN SIMON (NP) is a healthcare provider. based in Shrewsbury, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2265668 (MA). The NPI Number for MANDY LYNN SIMON (NP) is 1083979033

Main info

Female

Sole Proprietor

14 Years Of Experience

Accepts Medicare Assignment

Name

MANDY LYNN SIMON (NP)

NPI

1083979033

Phone

(857) 294-7245

Address

166 SOUTH ST

Enumeration Date

5 July 2012

Last Update Date

11 December 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7819355050

Graduation Year

2012 (14 years ago)

PAC ID

2365696770

Group Practice PAC ID

6507131497

Professional Enrollment ID

I20130213000213

Address ID

MA018016003WO2XXXXWAYX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience40

Completeness75

Years active:13State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MANDY LYNN SIMON (NP)

166 SOUTH ST
SHREWSBURY, MA 015455402
Phone: (857) 294-7245
Fax: (857) 294-7245
Type: Location
PO BOX 171247
BOSTON, MA 021171477
Phone: (857) 294-7245
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2018-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20130213000213	I	Nurse Practitioner	MA	TBD
I20181008000855	I	Nurse Practitioner	DE	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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	709	329	$0
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	682	341	$0
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	498	466	$0
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	327	313	$0
99239	Hospital discharge day management, more than 30 minutes	80	78	$0

View full utilization report →

Insurance plans in this area (ZIP 01545)

Loading plans...

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: 6507131497View full group profile