MRS. JILLIAN SIMON (NP) – Family Nurse Practitioner, NPI 1730713157
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. JILLIAN SIMON (NP)
18222 ROBERDS LAKE BLVD
FARIBAULT, MN 550217784
Phone: (651) 491-4946
Type: Mailing
2000 NORTH AVE
NORTHFIELD, MN 550571697
Phone: (507) 646-1101
Type: Location
1099 Helmo Ave N Ste 230
Oakdale, MN 551286037
Phone: (651) 243-0625
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-01-22 • Largest payer in this snapshot: Kerecis Limited ($29).
Total Amount
$29
General + Research + Ownership
Payments
2
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $29 |
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: 2020-05-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200507000517 | I | Nurse Practitioner | MN | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 200 | 35 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 71 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 25 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 28 | 11 | $0 |
Insurance plans in this area (ZIP 55021)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Addiction Medicine | MN | |
| Orthopedic Surgery | NE | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN | |
| Orthopedic Surgery | MN | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Certified Nurse Midwife (Cnm) | MN | |
| Physician Assistant | MN |
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.