ROBERT JOSEPH SIMON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124595913

ROBERT JOSEPH SIMON (CRNA) is a healthcare provider. based in Edina, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2276 (MN). The NPI Number for ROBERT JOSEPH SIMON (CRNA) is 1124595913

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT JOSEPH SIMON (CRNA)
NPI
1124595913
Phone
(952) 924-5000
Address
6401 FRANCE AVE S
Enumeration Date
30 October 2018
Last Update Date
11 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529245187
Graduation Year
2018 (8 years ago)
PAC ID
6002296977
Group Practice PAC ID
6709842461
Professional Enrollment ID
I20220708003300
Address ID
MN554351706ED4010XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for ROBERT JOSEPH SIMON (CRNA)

  • Fairview Southdale Hospital, 6401, France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    EDINA, MN 554352199

    Phone: (952) 924-5000

    Type: Location

  • 7395, 130th Street West, Apple Valley, Dakota County, Minnesota, 55124, United States

    APPLE VALLEY, MN 551249502

    Phone: (952) 426-5743

    Type: Mailing

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: 2022-07-08

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
I20220708003300ICertified Registered Nurse Anesthetist (Crna)MNTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery5050$0
00103Anesthesia for procedure on eyelid1111$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 6709842461View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
A N E S T H E S I O L O G YMN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Does ROBERT JOSEPH SIMON (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ROBERT JOSEPH SIMON (CRNA) uses 1124595913.
Does the file indicate ROBERT JOSEPH SIMON (CRNA) is practicing under active NPI?
Directory data currently reports ROBERT JOSEPH SIMON (CRNA) as active.
What healthcare role does ROBERT JOSEPH SIMON (CRNA) hold?
Scheduling teams often label ROBERT JOSEPH SIMON (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for ROBERT JOSEPH SIMON (CRNA)?
ROBERT JOSEPH SIMON (CRNA)'s geographic hint is Edina, Minnesota 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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