AKHSA SIMONOVICH FNP
NPI 1003599614
Nurse Practitioner - Family in St Louis Park, MN

Q: What is Akhsa Simonovich's NPI number?

The NPI number for Akhsa Simonovich is 1003599614. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Q: What is Akhsa Simonovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Akhsa Simonovich was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 09, 2023PECOS EnrolledAccepts Medicare Assignment

5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416(952) 345-8770 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, Oct 23, 2023, Aug 9, 2023 (3 updates tracked since 2023).

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About Akhsa Simonovich Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AKHSA SIMONOVICH FNP (NPI 1003599614) is an individual family provider in St Louis Park, Minnesota, licensed in Minnesota (10583) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in St Louis Park, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003599614

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAKHSA SIMONOVICHCredential: FNP

Location Address5320 W 23RD ST STE 130St Louis Park, MN 55416-1670

Mailing Address5320 W 23rd St Ste 130St Louis Park, MN 55416-1670 · (952) 345-8770

Phone(952) 345-8770

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 9, 2023

Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1003599614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 10583

5320 W 23RD ST STE 130, St Louis Park, MN 55416

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Secondary Practice Location 1

Location 14201 Excelsior BlvdSt Louis Park, MN 55416-4728 · Phone (952) 933-8900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Akhsa Simonovich Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244675072

PECOS Enrollment IDI20240301003056

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY LAINE MD

General Practice