ILANA ADINA SIMON (PA-C) – Physician Assistant, NPI 1073966966
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
Provider Addresses for ILANA ADINA SIMON (PA-C)
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 304-8431
Type: Mailing
1809 National Ave
San Diego, CA 921132113
Phone: (619) 515-2300
Type: Location
7600 EVERGREEN WAY
EVERETT, WA 982036421
Phone: (206) 860-5414
Type: Mailing
112th Avenue Northeast, Bellevue, King County, Washington, 98009, United States
BELLEVUE, WA 980043742
Phone: (425) 453-1039
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: 2025-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20161219002478 | I | Physician Assistant | WA | TBD |
| I20251216003263 | I | Physician Assistant | CA | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 98 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 60 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 63 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 49 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 55 | 44 | $0 |
Insurance plans in this area (ZIP 98206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine, Physical Medicine And Rehabilitation | CA | |
| Physician Assistant | TX | |
| P S Y C H I A T R Y | NJ | |
| - | CA | |
| - | MA | |
| - | CA | |
| Physician Assistant | CA | |
| - | CA | |
| - | CA | |
| - | CA |
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