JAMIE W SIMON (FNP, APNP) – Family Nurse Practitioner, NPI 1336204973
Family Nurse Practitioner
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NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for JAMIE W SIMON (FNP, APNP)
N112W17975 MEQUON RD
GERMANTOWN, WI 530222425
Phone: (262) 532-7600
Fax: (262) 532-7602
Type: Location
Columbia College of Nursing, 4425, North Port Washington Road, Grover Heights, Glendale, Milwaukee County, Wisconsin, 53212, United States
ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE, WI 532121082
Phone: (414) 271-1633
Fax: (414) 271-5071
Type: Mailing
2350, North Lake Drive, Northpoint, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
SUITE 400
MILWAUKEE, WI 532114528
Phone: (414) 271-1633
Fax: (414) 271-5071
Type: Location
9200 W Wisconsin Ave
Milwaukee, WI 532263522
Phone: (414) 955-1700
Fax: (414) 955-0072
Type: Location
2350 N Lake Dr
Suite 400
Milwaukee, WI 532114528
Phone: (414) 271-1633
Fax: (414) 271-5071
Type: Location
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (262) 532-7600
Fax: (262) 532-7602
Type: Mailing
9200 W WISCONSIN AVE
MILWAUKEE, WI 532263522
Phone: (414) 955-1700
Fax: (414) 955-0072
Type: Mailing
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: 2004-01-28
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 |
|---|---|---|---|---|
| I20040128000841 | I | Nurse Practitioner | WI | 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 | 107 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 72 | $0 |
Insurance plans in this area (ZIP 53022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Family Practice | IL | |
| - | WI | |
| E N D O C R I N O L O G Y | IL | |
| Family Practice | PA | |
| Cardiovascular Disease (Cardiology) | WI | |
| - | WI | |
| Family Practice | IL |
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