DR. MARY KRISTINE SIMONSON (M.D.) – Psychiatry Physician, NPI 1316948359

DR. MARY KRISTINE SIMONSON (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 025209 MD00021289 (WA). The NPI Number for DR. MARY KRISTINE SIMONSON (M.D.) is 1316948359

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY KRISTINE SIMONSON (M.D.)
NPI
1316948359
Phone
(253) 759-0288
Address
4041 RUSTON WAY
Enumeration Date
1 August 2005
Last Update Date
3 May 2012

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
2537590288
Graduation Year
1982 (44 years ago)
PAC ID
6204929342
Professional Enrollment ID
I20070906000425
Address ID
WA984025300TA4041XWAYX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

710 PSYCHIATRY in WA

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Provider Addresses for DR. MARY KRISTINE SIMONSON (M.D.)

  • 4041, Ruston Way, Old Tacoma, Tacoma, Pierce County, Washington, 98402, United States

    #202

    TACOMA, WA 984025378

    Phone: (253) 759-0288

    Fax: (253) 761-3288

    Mailing address matches the actual address.

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: 2007-09-06

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
I20070906000425IPsychiatryWATBD

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 minutes31435$0
99215Established patient office or other outpatient visit, 40-54 minutes4417$0
View full utilization report →

Insurance plans in this area (ZIP 98402)

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Reviews

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Frequently asked questions

What is the standard ID for DR. MARY KRISTINE SIMONSON (M.D.) in the U.S.?
In the U.S., DR. MARY KRISTINE SIMONSON (M.D.) is identified by NPI 1316948359.
Is DR. MARY KRISTINE SIMONSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. MARY KRISTINE SIMONSON (M.D.) as active.
What does the directory say DR. MARY KRISTINE SIMONSON (M.D.) does?
Insurance directories may phrase it differently, but here DR. MARY KRISTINE SIMONSON (M.D.) maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARY KRISTINE SIMONSON (M.D.)?
DR. MARY KRISTINE SIMONSON (M.D.) shows a connection to Tacoma, Washington in registry-derived data.
Can I export DR. MARY KRISTINE SIMONSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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