STEPHANIE SIMONETTI (APN) – Nurse Practitioner, NPI 1104586031
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for STEPHANIE SIMONETTI (APN)
457 Haddonfield Rd Ste 110
Cherry Hill, NJ 080022223
Phone: (844) 542-2273
Type: Location
457 HADDONFIELD RD STE 110
CHERRY HILL, NJ 080022223
Phone:
Type: Mailing
1 FEDERAL ST STE 200
CAMDEN, NJ 081031088
Phone: (848) 288-6935
Fax: (732) 790-0107
Type: Mailing
1210 BRACE RD STE 103
CHERRY HILL, NJ 080343213
Phone: (856) 536-1515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $638.
Total Amount is formed as General ($638) + Research ($0) + Ownership ($0) = $638.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: ABBVIE INC. ($301).
Total Amount
$638
General + Research + Ownership
Payments
37
Total payment records
General Amount
$638
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $301 |
| Amgen Inc. | $247 |
| Novo Nordisk Inc | $60 |
| Astellas Pharma US Inc | $17 |
| Teva Pharmaceuticals USA, Inc. | $13 |
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: 2022-02-02
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 |
|---|---|---|---|---|
| I20220202000519 | I | Nurse Practitioner | NJ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 284 | 146 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
| G0008 | Administration of influenza virus vaccine | 22 | 22 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 15 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 08002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NJ | |
| Family Practice | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NJ | |
| Family Practice | NJ | |
| Family Practice | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NJ |
Reviews
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