SHERRY ANN SIMON (RN, CNP) – Family Nurse Practitioner, NPI 1639471972

SHERRY ANN SIMON (RN, CNP) is a healthcare provider. based in Grand rapids, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, CNP. They hold a License No. R152957-7 (MN). The NPI Number for SHERRY ANN SIMON (RN, CNP) is 1639471972

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
SHERRY ANN SIMON (RN, CNP)
NPI
1639471972
Phone
(218) 326-5000
Address
1601 GOLF COURSE RD
Enumeration Date
18 November 2010
Last Update Date
29 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187410150
Graduation Year
2010 (16 years ago)
PAC ID
1153503354
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20110309000603
Address ID
MN557922329VI1101XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for SHERRY ANN SIMON (RN, CNP)

  • 1601 GOLF COURSE RD

    GRAND RAPIDS, MN 557448648

    Phone: (218) 326-5000

    Mailing address matches the actual address.

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: 2011-03-09

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
I20110309000603INurse PractitionerMNTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 55744)

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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm SHERRY ANN SIMON (RN, CNP)'s NPI?
Yes. SHERRY ANN SIMON (RN, CNP) is listed with NPI 1639471972 in the public NPI dataset.
Can I rely on SHERRY ANN SIMON (RN, CNP) being an active provider?
As of the registry snapshot, SHERRY ANN SIMON (RN, CNP) is marked active.
What taxonomy line describes SHERRY ANN SIMON (RN, CNP)?
For research purposes, treat SHERRY ANN SIMON (RN, CNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SHERRY ANN SIMON (RN, CNP)?
SHERRY ANN SIMON (RN, CNP)'s geographic hint is Grand Rapids, 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.

Similar Providers

MRS. ROSETTA K. VILLENEUVE (NP)

Gerontology Nurse Practitioner
Grand Itasca Clinic and Hospital, 1601, Golf Course Road, North Star Moblie Home Park, Grand Rapids, Itasca County, Minnesota, 55744, United States
NPI: 1952388506

JEAN THOM (NP)

Family Nurse Practitioner
Grand Itasca Clinic and Hospital, 1601, Golf Course Road, North Star Moblie Home Park, Grand Rapids, Itasca County, Minnesota, 55744, United States
NPI: 1598743494

CORINE R BUECHNER (FNP-C)

Family Nurse Practitioner
3920, 13th Avenue East, Hibbing, Saint Louis County, Minnesota, 55746, United States
NPI: 1275738460
19009 SUGAR LAKE TRL
NPI: 1801088505

CARMEN J SCHROEDER (FNP)

Family Nurse Practitioner
1601 GOLF COURSE RD
NPI: 1528256062
West 6th Street, Grafton, Walsh County, North Dakota, United States
NPI: 1255506929
3125 WILLIVAN WOODS
NPI: 1992960819

MRS. JODIE KAYE CAREY (CNP)

Family Nurse Practitioner
Grand Itasca Clinic and Hospital, 1601, Golf Course Road, North Star Moblie Home Park, Grand Rapids, Itasca County, Minnesota, 55744, United States
NPI: 1174852263

DR. TODD ALAN DICKSON (APRN, CNP)

Psychiatric/Mental Health Nurse Practitioner
4300 BAKER RD STE 200
NPI: 1912226259