JESSICA M SIMON – Nurse Practitioner, NPI 1538721246

JESSICA M SIMON is a healthcare provider. based in Waco, Texas. specializing in NURSE PRACTITIONER. They hold a License No. F06191496 (TX). The NPI Number for JESSICA M SIMON is 1538721246

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA M SIMON
NPI
1538721246
Phone
(254) 224-8077
Address
3613 TRICE AVE
Enumeration Date
2 July 2019
Last Update Date
13 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2545622500
Graduation Year
2019 (7 years ago)
PAC ID
6204268931
Group Practice PAC ID
6507042876
Professional Enrollment ID
I20191118001481
Address ID
TX766672329ME401XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for JESSICA M SIMON

  • 3613, Trice Avenue, Waco, McLennan County, Texas, 76707, United States

    WACO, TX 767071127

    Phone: (254) 224-8077

    Type: Mailing

  • 3613 Trice Ave

    Waco, TX 767071127

    Phone: (254) 224-8077

    Type: Location

  • 2000 S MAYS ST STE 201

    ROUND ROCK, TX 786647580

    Phone: (512) 244-4272

    Type: Mailing

  • 3500 HILLCREST DR STE 1

    WACO, TX 767083144

    Phone: (254) 741-6641

    Type: Location

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: 2019-11-18

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
I20191118001481INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 76707)

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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: 6507042876View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for JESSICA M SIMON in the U.S.?
In the U.S., JESSICA M SIMON is identified by NPI 1538721246.
Should I treat JESSICA M SIMON as an active provider?
Patients and plans typically see JESSICA M SIMON as active in the national extract.
Which specialty label fits JESSICA M SIMON?
NPPES ties JESSICA M SIMON to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JESSICA M SIMON?
JESSICA M SIMON is associated with Waco, Texas in the same public data insurers reference.
Why is information missing for JESSICA M SIMON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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