MELISSA M SIMON (DO) – Family Medicine Physician, NPI 1710100938

MELISSA M SIMON (DO) is a healthcare provider. based in La crosse, Wisconsin. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 52306-21 (WI). The NPI Number for MELISSA M SIMON (DO) is 1710100938

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA M SIMON (DO)
NPI
1710100938
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
10 April 2007
Last Update Date
2 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5632457000
Graduation Year
2007 (19 years ago)
PAC ID
2961696919
Group Practice PAC ID
1052206372
Professional Enrollment ID
I20120816000941
Address ID
IA520439015EL901XXNWXX400

Contacts

Secure Messaging
melissasimon@cchelkader.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,656 FAMILY PRACTICE in IA

Provider Addresses for MELISSA M SIMON (DO)

  • 1836 SOUTH AVE

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • 120 2ND AVE SE

    WAUKON, IA 521722073

    Phone: (563) 568-3000

    Type: Location

  • 901 DAVIDSON ST NW

    ELKADER, IA 520439015

    Phone: (563) 245-7000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Optinose US, Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Optinose US, Inc.$28
View all Open Payments →|Open Payments Risk Radar →

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: 2012-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1013 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20120816000941IEmergency MedicineIA2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2716$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 1052206372View full group profile
NameSpecialtyState
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIA
Emergency MedicineIA
General SurgeryIA
Family PracticeIA
Emergency MedicineWI
Emergency Medicine, HospitalistIA
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

Can I verify MELISSA M SIMON (DO) with an NPI only?
You can start verification with NPI 1710100938 for MELISSA M SIMON (DO), then check state licensing separately.
Does the file indicate MELISSA M SIMON (DO) is practicing under active NPI?
Directory data currently reports MELISSA M SIMON (DO) as active.
What healthcare role does MELISSA M SIMON (DO) hold?
Scheduling teams often label MELISSA M SIMON (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MELISSA M SIMON (DO)?
MELISSA M SIMON (DO)'s geographic hint is La Crosse, Wisconsin in our summary view.
Is the information about MELISSA M SIMON (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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