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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2023PECOS Enrolled

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: October 18, 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 and maintains a secondary practice location in St Louis Park.

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

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Akhsa Simonovich Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Akhsa Simonovich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespark Medical Group, PA

Same address

Geriatric Medicine

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

Reassigned Medicare billing, Minnesota enrollment
60 clinicians in this Medicare group

NPI 1427551746 (952) 345-8770

Life Medical, P.A.

1.8 mi

Multi-Specialty

4201 EXCELSIOR BLVD
Saint Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Life Medical PA
16 clinicians in this Medicare group

NPI 1740222496 (952) 933-1121

Minnesota Medical And Rehabilitative Services, LLC

1.8 mi

Physical Therapist

4201 EXCELSIOR BLVD
St. Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
17 clinicians in this Medicare group

NPI 1154302545 (952) 564-3880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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