KATHRINE LYNNE SIMON (CNM MS) – Midwife, NPI 1912075573

KATHRINE LYNNE SIMON (CNM MS) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM MS. They hold a License No. 173 (MN). The NPI Number for KATHRINE LYNNE SIMON (CNM MS) is 1912075573

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KATHRINE LYNNE SIMON (CNM MS)
NPI
1912075573
Phone
(612) 262-9000
Address
2925 CHICAGO AVE
Enumeration Date
1 December 2006
Last Update Date
6 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
2002 (24 years ago)
PAC ID
9234149287
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20060504000574
Address ID
MN553021109AN440XXEXXX400

Contacts

Secure Messaging
ksimon96162@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

251 CERTIFIED NURSE MIDWIFE (CNM) in MN

Provider Addresses for KATHRINE LYNNE SIMON (CNM MS)

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 7920 OLD CEDAR AVE S

    BLOOMINGTON, MN 554251207

    Phone: (952) 428-1800

    Type: Location

  • 8301, Golden Valley Road, Golden Valley, Hennepin County, Minnesota, 55427, United States

    SUITE 100

    GOLDEN VALLEY, MN 554274435

    Phone: (763) 520-2211

    Fax: (763) 520-2222

    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: 2006-05-04

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
I20060504000574ICertified Nurse Midwife (Cnm)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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55407)

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: 4587573613View full group profile

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 KATHRINE LYNNE SIMON (CNM MS)'s NPI?
Yes. KATHRINE LYNNE SIMON (CNM MS) is listed with NPI 1912075573 in the public NPI dataset.
Does CMS list KATHRINE LYNNE SIMON (CNM MS) as active?
Yes — KATHRINE LYNNE SIMON (CNM MS) is active in the NPI listing used on this page.
What is KATHRINE LYNNE SIMON (CNM MS) best known for clinically?
Directory data describes KATHRINE LYNNE SIMON (CNM MS) with Midwife. Clinical services aligned with this taxonomy classification.
Where is KATHRINE LYNNE SIMON (CNM MS) based?
KATHRINE LYNNE SIMON (CNM MS) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about KATHRINE LYNNE SIMON (CNM MS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

4252, 11th Avenue South, Northrop, Powderhorn, Nokomis, Minneapolis, Hennepin County, Minnesota, 55407, United States
NPI: 1063481968
PO BOX 43
NPI: 1154383016
Richfield Parkway, Diamond Lake, Minneapolis, Hennepin County, Minnesota, 55450, United States
NPI: 1568475010
Richfield Parkway, Diamond Lake, Minneapolis, Hennepin County, Minnesota, 55450, United States
NPI: 1790798155

AMY ELIZABETH LANGENFELD (CNM)

Psychiatric/Mental Health Nurse Practitioner
8170 33RD AVE S # MS 21110Q
NPI: 1912087610
Catholic Charities, 1200, 2nd Avenue South, Loring Park, Minneapolis, Hennepin County, Minnesota, 55403, United States
NPI: 1245311281
2925 CHICAGO AVE
NPI: 1154598365
3212, East 37th Street, Howe, Longfellow, Minneapolis, Hennepin County, Minnesota, 55406, United States
NPI: 1225293814