MRS. KIMBERLY SIMON APRN
NPI 1053553974
Nurse Practitioner in Fleming Island, FL

Q: What is Kimberly Simon's NPI number?

The NPI number for Kimberly Simon is 1053553974. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Q: What is Kimberly Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Simon was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 March 25, 2009PECOS EnrolledAccepts Medicare Assignment

2310 VILLAGE SQUARE PKWY STE 202, FLEMING ISLAND, FL 32003(904) 516-1880(904) 516-1885 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2023, Nov 21, 2022, Nov 16, 2020 (3 updates tracked since 2020).

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About Mrs. Kimberly Simon Aprn NPPES

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

MRS. KIMBERLY SIMON APRN (NPI 1053553974) is an individual nurse practitioner in Fleming Island, Florida, licensed in Florida (APRN9263507) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053553974

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KIMBERLY SIMONCredential: APRN

Location Address2310 VILLAGE SQUARE PKWY STE 202Fleming Island, FL 32003-6351

Mailing AddressPo Box 746649Atlanta, GA 30374-6649 · (904) 376-4400 · Fax (904) 391-5595

Phone(904) 516-1880

Fax(904) 516-1885

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 25, 2009

Last NPPES UpdateJanuary 18, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2023

✔ NPI 1053553974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN9263507

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9263507 (FL), ARNP9263507 (FL)

2310 VILLAGE SQUARE PKWY STE 202, Fleming Island, FL 32003

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Secondary Practice Locations 3

Location 12300 Park Ave Ste 102Orange Park, FL 32073-5572 · Phone (904) 276-2220 · Fax (904) 276-2578

Location 21305 N Orange AveGreen Cove Springs, FL 32043-2547 · Phone (904) 284-5904 · Fax (904) 284-5905

Location 31747 Baptist Clay Dr Ste 310Fleming Island, FL 32003-8503 · Phone (904) 224-8090 · Fax (904) 224-8097

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly Simon Aprn 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 ID7911190988

PECOS Enrollment IDI20101022000210

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 Kimberly Simon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Neurology Inc

Same address

Neurology

2310 VILLAGE SQUARE PKWY STE 202
Fleming Island, FL 32003

Reassigned Medicare billing, Florida enrollment
62 clinicians in this Medicare group

NPI 1083019772 (904) 516-1880

Rural Health Care Incorporated

5.3 mi

Federally Qualified Health Center (FQHC)

1305 N ORANGE AVE
Green Cove Springs, FL 32043

Reassigned Medicare billing, Florida enrollment
76 clinicians in this Medicare group

NPI 1700135522 (904) 284-5904

St Vincents Ambulatory Care Inc

17 mi

Neurological Surgery

2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: St Vincent's Ambulatory Care Inc
544 clinicians in this Medicare group

NPI 1417987124 (904) 308-6769

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

419 services289 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

221 services115 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

120 services102 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services51 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100321

Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32003 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 5

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

BAPTIST NEUROLOGY INC

Psychiatry & Neurology (Neurology)